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Coding Challenge: Dermabond for Laceration Repairs

Question: The dermatologist treated an established patient with a cut on her lip and used Dermabond to close the 1.8-cm laceration. Should I use a laceration repair code when the only adhesive he used was Dermabond?
Answer: Your code choice will depend on the patient’s insurance. Check out these two coding options:
Patient has Medicare: If the […]

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Medicare Will Pay for Some Telehealth Services: The Lowdown on How to Report Them

If you’re confused about whether Medicare covers telehealth services, look no further. CMS recently released a MLN Matters fact sheet on the topic that can help guide the way.
Keep in mind: CMS notes that Medicare beneficiaries “are eligible for telehealth services only if they are presented from an originating sitelocated in a rural health professional shortage area or in a county outside of a […]

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Pssssssst. Payer Report Cards Are Out

If you know your payers’ strengths and weaknesses, you’re better equipped to fight denials and negotiate contracts that are in your best interest.
So check out the American Medical Association’s second annual National Health Insurer Report Card. The AMA has gathered data and rated large payers on criteria like payment timeliness, accuracy, claim edit sources and denials, […]

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  2. NY AG Fines United Health $50 Million for Under-ReimbursementGetting money from big insurers may be like squeezing blood…
  3. AMA Sues Aetna, Cigna for Out-of-Network Reimbursement RatesThe American Medical Association isn’t stopping with the $350 million…
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