Shoulder Surgical

Master CCI Edits For Shoulder Surgical Procedures

Use modifier 59 inappropriately, and it can cause you a “bundle” of problems

To get paid for all you do, you must correctly code each and every procedure performed—which sometimes means unbundling codes using modifier 59 (Distinct procedural service). However, to decide if and when modifier 59 is appropriate, you must do some heavy lifting. Appending modifier 59 More..


How (and Why) to Build a Telemedicine Practice

Smart: Account for costs as well as potential savings—and prep for compliance challenges

Twenty years ago, telehealth was more concept than reality, popular among visionaries but absent from most doctors’ offices. Today, telehealth is a rapidly growing industry changing the way practitioners and patients interact. The technology and the capabilities change almost daily. And then there are the More..

CMS Relaxes Inpatient Admission

Good News: CMS Relaxes Inpatient Admission Order Requirements

Here’s why you still should keep physicians providing this type of documentation

The Centers for Medicare & Medicaid Services’ (CMS) hospital compliance requirements are ever-changing and evolving. But sometimes, the CMS Hospital Conditions of Participation (CoP) requirements and Hospital Inpatient Prospective Payment System (IPPS) rule revisions change for the better. Case in point: You can expect changes More..