Today we will discuss the various guidelines for reporting diagnostic services, Radiology Documentation requirements and Common Modifiers Objective: Section IV of the Official ICD10-CM Guidelines CMS IOM 100 Guidelines for Documentation LCD Policies Data Component of E/M Services Review
Did you know that Copay collections are required when you enter into a contract with an Insurance payer and that Routine Waiver of copays is against many Federal laws and regulations Including the Civil Monetary Penalties Law (CMPL), Anti-Kickback Statute (AKS), and the False Claims Act? Today we dive into the Laws and the regulations …
Episode 8: Stay Compliant with Copay Collections Read More »
Today we discuss the Maze of Provider Credentialing and Important reasons to Credential your Facility and Provider with an Insurance company. Objective: Using PECOS and CAQH Importance of Payer Contract Negoatiations Updating Provider Enrollment Inhouse or Outsourcing Please see these helpful links mentioned in the podcast: PECOS Enrollment Checklist CAQH Proview Resources UHC Credentialing Information …
Join me as I Interview Bettina Hein. Bettina is a serial tech entrepreneur and founder of Pixability, which is a text-to-speech software that lives on in all Android phones and a lot of car navigation systems right out of graduate school and sold it for $125 million. Bettina is a “shark” on the Swiss TV …
Episode 4:Interview with Tech Giant Bettina Hein Read More »
Today I will be talking about my career path and how to navigate your career path in a similar way. I give you my take on the main Coding Certifying Industries AAPC® and AHIMA®. I am certified in both and I love them both for what they offer to help coders and billers. Lets discuss: …
Episode 5: The Anatomy of the Medical Coding Career Read More »
Spinal Fusion coding can be complex especially if we do not understand Spinal Anatomy, Coding Guidelines and Payer Requirements. CMS and AMA can differ in their interpretation of documentation and bundling of Laminectomy and Arthrodesis. Do you understand all the elements of an Arthrodesis Procedure. Lets Talk about it: Spine Anatomy Arthrodesis Components Bundled Procedures …
Modifiers can be confusing since we have so many of them. There are CPT® modifiers and Payer specific ones to navigate through. Today we will focus in the most commonly used ones with the Global Package and how to know when to apply them We will pick on the 59 modifier and give examples of …
Episode 2: Global Billing, Modifiers and GI Examples Read More »
In this episode we will talk about coding with Authority and the importance of using the right resources when we do research and when we educate physicians. We will also talk about some items to remember when coding for Orthopedic Services directly from our 2021 NCCI Manual from CMS. Know the Authoritative sources for coding …
Bonus: Coding with Authority and Orthopedic Reminders 1 CEU Read More »
Please complete the Quiz for our last Episode and Earn 1 CEU
We have made it to Season 4 and we are excited you are here to Join us for another season! Enjoy and tell us what you think.
