In 2021, when the Evaluation and Management guidelines were revised, the area with the most confusion was ultimately the amount and/or complexity of data to be reviewed and/or analyzed. Like with other components, misunderstandings with definitions and descriptions were at the root of the problem. It is extremely important to read the full description and …
How are you doing with your Lesion and Wound Repair Coding? Many Physicians across specialties perform skin procedures so it’s important that we understand the proper coding and documentation required. Knowing the guidelines for Lesion Excision and Wound Repair is crucial because at times they are bundled and the calculation methods are very different. Let’s …
Routine foot care is probably the most difficult thing for a Podiatry practice to manage. It takes a village to make sure all the proper steps are taken in order to get paid. This is because Medicare has a coverage policy that states the routine trimming of nails and removal of calluses or corns is …
Are you struggling with your Evaluation and Management reimbursement for Radiation Oncology services? Radiation Oncology has nuances, and you may be leaving money on the table without a good understanding of how the 2021 Evaluation and Management guidelines impact Oncology services.
When capturing Evaluation and Management services, the goal is to capture the true data behind the risk and problems addressed to report the service accurately. Beyond the reimbursement, what else does the accuracy of code capture do?
It’s no secret that the most widely misunderstood and misused modifier in Medical Billing and Coding is Modifier 25. I have worked in the Revenue cycle for 20 years, and even in this day and age with so much education and easy ways to access regulatory guidance, many still misunderstand its use. Modifier 25: …
I have experience with nearly all operational roles in a provider’s practice. I have been involved in almost every role in the medical office except for clinical. This has provided me with a unique understanding of the barriers and opportunities for patients and providers for the healthcare process. This experience has been my motivation …
What is an EOB or Explanation of Benefits? Every insurance payer will give a written explanation of the charges you submitted, what they will pay or not pay, what the patient may or may not owe and any reasons for non payments. How to read an EOB Most patients are not able to understand how …
