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05/09/2022
When coding for removal or insertion, it’s imperative to understand the difference between a foreign body and an implant, and coders must be familiar with new CPT definitions for implants and foreign bodies that went into effect Jan. 1.
05/09/2022
Question: I read your recent article about incident-to billing. One of my practitioners has a question I am unable to answer. Is there a time limit on what is considered a new problem? For example, if a patient is not treated for a particular problem in over a year, is it now considered a new problem? Please advise.
05/09/2022
Like many other services, hospital inpatient and observation numbers took a hit in the first pandemic year of 2020. But providers performed better in getting their claims accepted than before.
05/02/2022
CMS’ final national coverage determination (NCD) on the Alzheimer’s drug Aduhelm may provide a clearer path to use, but critics warn the way CMS handled the approval issues could presage problems with other big-ticket drug decisions down the line.
05/02/2022
When you know a service will not be covered under Medicare, you are required to issue an advance beneficiary notice of non-coverage (ABN). Sharpen your modifier know-how so that you can accurately report claims when an ABN is involved.
05/02/2022
You won’t find the new appendix for audio-only services in the print version of your CPT manual until the 2023 edition. But Appendix T (CPT codes that may be used for synchronous real-time interactive audio-only telemedicine services) went into effect April 1 and was added to the electronic version of the CPT manual in March.
05/02/2022
As the COVID public health emergency endures, you’ll find a new code that you can report when providing a Moderna booster shot, along with a complementary administration code.
05/02/2022
Question: We performed transitional care management (TCM) on a patient who had been discharged as an inpatient by a provider from a different practice. When our claim went in, the payer did not have the discharge summary on file and denied our claim. What can we do?
05/02/2022
Question: How do you code and bill for wound debridement involving the disposal of unused cellular-based tissue product (CTP)?
05/02/2022
The growth of two services that Medicare has approved in recent years — cognitive assessment service 99483 and behavioral health care management code 99484 — signals that practices are spending more time addressing their patients’ behavioral health needs.

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