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What are LCDs in regard to laboratory services?
Can we bill 36415 for finger sticks or line draws as well as venipuncture?
Auditing has many proven benefits for providers. Audits can help identify gaps, inconsistencies, and areas of risk not previously seen. In particular, weaknesses in charge capture of drug administration services and overlooked revenue opportunities are key reasons for putting together an audit practice. Historically, many professionals have defaulted to billing
We noticed that descriptors for both CPT® codes 82803 and 82805 begin with the word “gases,” and had some confusion around measuring. In this case, should it mean that two or more blood gases must be measured? Please advise.
What do left heart congenital catheterization codes (93595, 93596, 93597) include?
As discussed last month, the 2023 Medicare Physician Fee Schedule (PFS) rule has arrived, released by the Centers for Medicare & Medicaid Services (CMS) on Tuesday, July 7, 2022. The proposed rule outlines potential updates to a variety of policies and provisions that dictate payment for many services included in
Is there a code for removal of a gastrostomy or other colonic tube?
For bone marrow studies, it is appropriate to bill separately for duplicative testing on the same or similar specimens? Also, can we append a modifier if the testing in separate departments or laboratories is for the same antibody?
With as much as 10-30 percent of coding lost in errors and rendered inaccurate, now is a good time to review interventional radiology coding. Even more, radiology has experienced the great resignation, with a turnover in labor, with many facilities likely having brand new eyes and minds focused on coding.
Can you code both an FNA biopsy and a core biopsy performed at the same session, on the same lesion, using the same type of imaging guidance?
When applying an “antibody cocktail” which contains two or more separately interpretable antibodies do you have any recommendations to determine applicable billable units of service?
Specimen collection can be an important part of performing respiratory therapy services. Which codes represent specimen collection services? There are several distinct codes for reporting these services. These include 36415, 36591, 36592, 36600, and 89220. Let’s review the fundamentals of each service to build success this year and beyond. Types
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Coding and compliance mean more than ever to your bottom line in these trying times. Take away essential knowledge and actionable tips for resolving costly ongoing issues, from often lacking documentation for start and stop times, to properly charging for prolonged infusions, to ensuring medical necessity for hydration therapy and drug administration – both current audit targets.
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