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Watch Out for 3 Telephone Service Coding Pitfalls

Caution: You may need to incorporate the call into an in-office E/M service.
If you’re reporting services your physician provides over the phone, but you’re not getting paid, the reason might be one of two things — you’re not following the coding rules surrounding the codes or your payer just isn’t paying for those services. Check out these […]

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Coding Education: Simple, Intermediate or Complex Closure?

Correctly distinguish closure levels every time with this advice from the experts.
All closures aren’t created equal; one of the nuances of coding these procedures is knowing how to distinguish one type from another. Read on for our experts’ advice on how to assess the three closure levels and assign the best codes.
Remember ‘Simple’ Doesn’t Mean […]

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How Do I Code This Multiple Fracture Accident Patient?

Question: A 30-year-old female presents to a rural ED with several injuries after the all-terrain vehicle she was driving overturned. During a level-five ED E/M service, the physician diagnoses a fractured metacarpal shaft in her left hand and a fractured left femur. The ED physician provides closed manipulative treatment for each fracture. How should I […]

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Gastroenterology Coding Education: Bravo Cap Placements

Question: A new patient reports to the gastroenterologist with complaints of frequent belching and heartburn. After performing a level-two E/M service, the gastroenterologist performs a diagnostic EGD.
During the EGD, she also inserts a Bravo capsule and performs a reflux test. Tests came back negative for both cancer and gastroesophageal reflux disease (GERD). How should I code this scenario?
Answer: You should be able […]

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15% More Pay Awaits Coders Who Can Max Out NPP Benefit

Correctly code NPP’s hospital services, or you’ll sell the practice short.
If you don’t take advantage of all the E/M services a nonphysician practitioner (NPP) can provide, you are missing out on a serious revenue stream, as these providers can simultaneously lighten physicians’ loads and fatten the practice’s bottom line.
Check out these FAQs to get the […]

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Sort Out This ER, Then Assumed Care Scenario

Question: My orthopedist treated a patient who was first seen in the ER for an open fracture with laceration overlying the distal finger phalanx. The ER physician sutured the wound. When the patient arrives in our office, the orthopedist does an E/M service and assumes the care of the wound in addition to the fracture […]

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Modifier Cheat Sheet: Banish Your E/M Modifier Phobias Forever

Once you have this tool, you’ll never again wonder which modifier applies to minor vs. major procedures.
If you’re often mixing up your E/M modifiers, then print this post and hang it near your desk. You’ll be sure to apply the appropriate modifier every time.
Pick Modifier 24 for Post-Op Cases
When you report modifier 24 (Unrelated evaluation […]

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