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Coding

Coding

5 Tips Audit-proof Your Remote Patient Monitoring Coding and Billing

An easy way to add $122 per patient per month for services you already offer is to capture 2020’s new and revised CPT codes for remote patient monitoring. But be sure you can keep your hard earned money by reporting compliant, documentation supported claims. With the increasing amount of patients having wearable devices such as […]
Published Date: February 4, 2020
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CMS Acupuncture Coverage CPT Coding

CMS Covers Acupuncture When Case Meets These Requirements

Your patients with chronic back pain will be thrilled to know that CMS now offers reimbursement for acupuncture services. But to unlock pay, you must follow several coverage rules or else you’ll be stuck having to write off the service or collect the pay from the patient. Select 987810-987814 Based on Type and Duration Look […]
Published Date: January 24, 2020
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Coding CPT Injection Infusion

4 Must-Know Injection and Infusion Tips to Boost Pay Up

Correctly coding for injections and infusions can often feel like a shot in the dark. From assigning codes for multiple drugs to add-on codes to accurately documenting stop and start times, even the most experienced coders feel the pinch of these complex coding guidelines. But code claims incorrectly, and you could be costing your practice […]
Published Date: December 19, 2019
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99051 CPT code after hours care

QA: What Time Counts for After Hours 99050, 99051 CPT Code?

QUESTION: What is considered after hours for 99050 and 99051 CPT codes? Our office has two physicians who work Mon-Thurs 8-4:30 and a nurse practitioner who works Mon-Thurs 10-6, Fri 8-4:30 and Sat 8-noon. Limited staff is here in the evening from 4:30-6 Mon-Fri and on Sat to assist her. When patients call after 4:30 […]
Published Date: November 28, 2019
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Transitional care management services

2020 CMS Boosts Transitional Care Management Pay, Removes Edits

When you’re helping patients successfully transition from the hospital, SNF, or rehab, you can capture your non face-to-face services care coordination with Transitional Care Management codes. To encourage you to use these codes more often, CMS 2020 is making them more lucrative and less burdensome. Hospital re-admissions, deaths, and healthcare costs are all decreased with […]
Published Date: November 27, 2019
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Chronic Care Management

Check 5 Capabilities to Bill Chronic Care Management

Update Notice: This information was updated for accuracy on May 19, 2021. This update reflects the 2021 CPT code changes for Chronic Care Management, specifically the replacement of code G2058 with code 99439. You’ll find this update in the “Facilitate Transitions of Care – Chronic Care Management Options” section below. Whether it’s diabetes, arthritis, or […]
Published Date: November 13, 2019
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CPT Code 59400

Global Billing Growing: Capture Charges Beyond CPT Code 59400 for Bundled Care

Insurance trends are shifting from fee-for-service models to global billing structures including in the area of maternity care pricing: a flat rate fee for (almost) all services rendered to cover the entire pregnancy billed with one code such as CPT code 59400. Correctly including what is part of a global billing model – and what […]
Published Date: October 1, 2019
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Maximize Billable Opportunities for Coding Remote Patient Monitoring

CMS won’t release the 2020 Medicare Physician Fee Schedule final rule until later this fall, but that doesn’t mean you should wait to shore up your reimbursement for coding remote patient monitoring based on the proposed rule. Released in July, the proposed rule contains important clues about what you can expect next year. And even […]
Published Date: August 11, 2019
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What Type of Education Is Needed for Medical Billing and Coding?

Pursuing a career in medical billing and coding can be one of the most rewarding experiences in your life. This is a serious and complex field that is becoming more and more competitive. You don’t have to be a doctor or a nurse to help thousands of patients, because you can contribute quite a lot […]
Published Date: August 4, 2019
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Time-Based Coding

Tackle Time-Based Coding to Ethically Boost Your Reimbursement

If your practice isn’t using time-based codes correctly, you are leaving money on the table. Or worse, opening yourself up for massive fines per misuse. The truth is, most coders and their physicians steer clear of these codes out of fear of the consequences of getting it wrong.  But, there’s no need to avoid these […]
Published Date: February 1, 2018
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