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Q: “Provider billed with a modifier 24 with a diagnosis code for trigger thumb only. Does this justify modifier 24? Is it significant enough to warrant payment of E/M within the global period?” A: Really what this question came down …
Q: Can a Z code be a Primary / Admitting Dx? “Can I use a Z code as a primary/first listed diagnosis? I am struggling with coding aftercare especially.” A: The answer is yes. You can use a Z code …
Q: Review of X Modifiers (EPSU) (modifier 59 alternatives) — “Can you review the X modifiers implemented January 1, 2015?” A: Honestly, there really hasn’t been that much of a change. In fact, CMS Medicare hasn’t given us much feedback …
Q: “Can you explain a little bit about modifiers, global surgical package and bundled services?” A: There’s a lot of information in one question. When we start to talk about these, a lot of times you’re going to hear the …
Q: Chiropractic Billing vs Medical Billing – “I recently switched from coding & billing with a 97.5% collection rate to billing for a chiropractic group. Now, 50% of my claims are being denied – particularly with Medicare, and I’m not doing anything …
Q: EM Codes 99201 99205 – “What E/M code should I use when a new patient comes in to the physician office and the doctor documents the 99201-99205 codes along with the preventive codes, or well visit codes? I believe …
Path and Lab 80300 80304 CPT Codes Laureen: Q: “Can you go over Path & Lab coding for Presumptive Drug Class Screening 80300 80304 CPT Codes?” A: This one, Ruth Sheets who’s on the CCO team prepared for us, so …
In today’s discussion, we’re going to talk about what Risk Adjustment (RA) is, what’s the purpose of it, where it originated from, which plans are Risk Adjustment plans, and the history and development of Risk Adjustment. We will also talk about …