Two for the price of one, or report both a problem oriented visit and a preventive service? This video includes CPT® and Medicare guidelines for deciding if you can bill both the E/M service and the preventive service, or if you must select only one. After watching, check out this article for some additional resources.
Archives for November 2016
ICD-10 Coding for Chronic Diseases – Part 1
This is the first part of a two part series regarding coding for chronic diseases. Includes coding for current conditions and some “status” conditions. This 10 minute video covers chronic conditions common to primary care and other specialties. Relevant Search Terms: diabetes, hypertension, obesity, heart disease, high blood pressure
ICD-10 Coding for Chronic Diseases – Part 2
This is part two of our series regarding coding for chronic diseases. Includes coding for current conditions and some “status” conditions. This 10 minute video covers some additional chronic conditions common to primary care and other specialties. Relevant Search Terms: smoking, angina, CAD, heart disease, MI, acute MI, diabetes, varicose veins
ICD-10-CM Coding for Depression and Anxiety
ICD-10 chapter 5 includes diagnosis codes for depression and anxiety. These codes require specificity. This video addresses how to select diagnosis codes for patients with depression or anxiety. Relevant Search Terms: mental health, mental health services, counseling, anxiety, depression
ICD-10-CM Coding for Personal and Family History and Abuse
Learn the correct coding for personal history of abuse and neglect, and family history of abuse and neglect. Includes discussion of “history of” vs. current abuse, and information on important key changes in ICD-10… Relevant Search Terms: physical abuse, psychological abuse, child abuse, neglect, adult abuse, mental health disorders, alcohol abuse, dependence, drug abuse, sexual […]
ICD-10-CM Coding for Use, Dependence and Abuse
Correctly select the most accurate code for substance use, abuse and dependence in ICD-10. This short video includes discussion of key changes including increased specificity… Relevant Search Terms: mental health disorders, alcohol abuse, dependence, drug abuse, addiction
How Physician Services are Paid – Infographic
CPT® codes, HCPCS, modifiers, global surgical packages, CMS formulas, diagnosis codes, location, and more…how do all these pieces come together for medical reimbursement? This helpful infographic from CodingIntel shows how physician services are paid with proper medical billing and coding.
Sequela, Aftercare or Personal History
When should a practice use an aftercare diagnosis code, a personal history of a condition diagnosis code, or a post-trauma sequela code? This video answers common questions about billing sequel, aftercare and personal history. Relevant Search Terms: coding, orthopedics, surgery, trauma, accidents, diagnosis codes, aftercare
Examination Codes in ICD-10
In ICD-10-CM, diagnosis coding for preventive medicine services are divided as with or without abnormal findings. Learn about ‘Z’ codes in this 5 minute video on examination codes in ICD-10… Relevant Search Terms: Z codes, preventive medicine, diagnosis codes, examination codes, immunization
Diagnosis Coding: It’s Not Just for Claims Anymore
What to Know About HCC Codes, Medicare Risk Adjustment and HCC Coding Guidelines Getting ready for risk-adjusted diagnosis and alternate payment systems requires paying greater attention to diagnosis coding. This video from CodingIntel describes why medical practices need to step up their game in diagnosis coding, as well as the importance of proper HCC codes, […]
Nursing Facility Services
This video summarizes the rules related to billing for nursing facility visits in about 5 minutes. Covers CPT® codes 99304-99310 including discussion about these services relative to hospital discharge.
Coding for Signs and Symptoms in ICD-10
Say good bye to “rule out” for physician claims. This review of coding for signs and symptoms for physician services will bring you up-to-date in about 5 minutes…
Selecting Category of Code
Some of the most common questions we receive are in regard to selecting category of code for E/M services. This 20 minute video offers step by step guidance for accurately selecting the category of code for office, inpatient, emergency, and observation services.
Medicare Rules for Incident To and Shared Services
Whose provider number is being used to bill services to the insurer, or to Medicare? This is a compliance risk area often overlooked. This 10 minute video defines incident to and shared services and explains the Medicare rules around billing for these services. Reduce your compliance risk by accurately billing these services…
Key Changes in Diagnosis Coding from ICD-9 to ICD-10
How is your practice fairing with the switch to ICD-10. Hopefully, it has been a seamless transition. Regardless of your ICD-10 experience, this 20 minute video is worth a look. Includes detailed discussion of changes, tips and more… Relevant Search Terms: external cause codes, diagnosis coding, Z codes
Billing for Services Provided by Medical Students
Updated September 18, 2018 Coding. Why does it keep changing? This video has been removed because the rules related to these services have changed. We have provided links to updated content at the end of the post. Can you bill for services performed and documented by a medical student? The resources below explain Medicare teaching […]
Billing for Nurse Visits
99211 is the established patient E/M services code for services that do not require the presence of a physician, often referred to as nurse visits. What are some examples of this type of service? When can it be billed and when can it NOT be billed. This short video answers frequently asked questions about nurse […]
Can I Code at a Higher Level If Everyone in the Exam Room is Crying?
This short video addresses your questions about coding a higher level of service due to patient behavior. Includes CPT® guidelines, tips on selecting level of service, and documentation requirements…
Surgical Modifiers
This article includes: Surgical modifiers with definitions Guidelines for billing multiple surgical procedures Modifiers in the post-op period Avoiding CPT® modifier mishaps Citations Members can also download the Global Surgery Coding Guide. Some of the information in this article and in the billing guide is the same. Billing for Surgical Services Before submitting a claim […]
Definitive Guide to Documenting Time | Reference Sheet
Office visits, inpatient care, prolonged services, critical care…properly documenting time can help ensure that you receive the maximum allowable payment for the time you spent with the patient. Use this handy reference guide to make sure your documentation includes all the necessary components.
Can I Get Paid for…an Office Visit the Same Day as a Minor Procedure
Can you bill an E/M service on the same day as a minor procedure? Sometimes yes, sometimes no. The decision to perform a minor procedure is included in the payment for the procedure, unless a significant and separate E/M is needed, performed and documented. Watch this short video to learn more.