At the end of 2017, there was news that a new vaccine for shingles, Shingrix, was significantly more effective than the older vaccine, Zostavax. The new vaccine was recommended in place of the old, and for patients who had already received the older vaccine. An article in The New York Times summarized the benefits. The […]
Archives for May 2018
Coding for Biopsy | Should We Wait for a Pathology Report?
Question: Should we always wait for the pathology report before submitting a code for a biopsy? Answer: Sometimes. Wait for the pathology report only for excision of benign or malignant lesions, which are coded based on the pathology report. These codes describe excision of benign lesions in the code series 11400 to 11446 and excision […]
Improving the Accuracy of Your Diagnosis Risk Scores | Webinar
Recorded June 6, 2018 This content is no longer current. Presented by Betsy Nicoletti with guest speaker Edwin Knights, MD Edwin Knights, M.D. was the physician leader in his practice in implementing risk diagnosis coding and brings experience and strategic knowledge to this important topic. Overview: Many practices have a basic understanding of HCC risk […]
Quick Coding Reference Sheet – Home visits
Use this reference guide to select a level of service for new and established patient home visits, based on the key components or time.
Who is Responsible for Coding Physician Services? The Medical Provider or the Coder?
Legally, when a physician, physician assistant (PA) or nurse practitioner (NP) enroll in a Medicare, Medicaid or commercial insurance, the practitioner signs an agreement attesting that accurate claims will be submitted. Practitioners are responsible for claims submitted under their National Provider Identifier (NPI). CMS’s E/M guide says, When billing for a patient’s visit, choose codes […]