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11/02/2015
11/02/2015

Question: A specialty surgeon discovers an issue during surgery that requires a second surgeon of a different specialty to come in to do a procedure separate from the original planned service. How do they bill?

11/02/2015

Use of modifiers 54 (Surgical care only) and 55 (Post-op management only) reduced or maintained denial rates when billed with some orthopedic services codes — but it was a different story for cataract surgery. 

11/02/2015
Since the Oct. 1 launch date of the ICD-10 code set, Medicare payers have reported a number of claims-processing errors affecting dozens of codes.
 
Those problems include codes listed on local coverage determinations (LCDs) and national coverage determinations (NCDs), notes Teri Jorwic, professor of health care informatics at the University of Illinois at Chicago.
 
"There have been reports that some of these lists seem incomplete or inaccurate," says Jorwic. "For example, in the injury codes there are a minimum of three 7th characters for initial, subsequent and sequela. Some are reporting that only some of these 7th characters are being accepted."
 
Download the "ICD-10 errors" spreadsheet (link above) to view all codes entangled in errors in your Medicare administrative contractor (MAC) jurisdiction.
 
10/26/2015
In this enrollment season, it’s good care and service to help patients with their Medicare and Affordable Care Act (ACA) plan enrollment. But be careful about seeming to steer them to particular plans.
10/26/2015
Check your state and local registries to get set up for the public health reporting requirement for meaningful use stage 2, or otherwise be prepared to prove exclusionary status if no reporting options are available to you.
10/26/2015
As a meaningful use stage 2 attester, you may be recused from the public health reporting objective if you meet certain exclusions. In the list below, you’ll find the full exclusion criteria for the three measures that comprise the reporting objective, as found on p. 269-271 of the final rule released Oct. 6.
10/26/2015
Providers list several challenges to billing chronic care management (CCM) — time, resources, low return on investment — but these tips can help you overcome those issues and capture new revenue.
10/26/2015
More patients than ever are accessing their medical records electronically — 38% in 2014, up from 28% in 2013 — but recent data from HHS’ Office of the National Coordinator for Health Information Technology (ONC) show that only half of patients offered access are taking advantage.
10/26/2015
Here’s a tip to avoid having your claims kicked back to you by your clearinghouse: Make sure you are including the required number of characters in your ICD-10-CM codes.

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