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Horizon BCBS Modifier Cut May Threaten Your Income

Upcoming policy change will slash your payments by half.

Big changes are on the horizon if you participate with insurance provider Horizon Blue Cross Blue Shield (BCBS) of New Jersey.

In a recent memo, BCBS states that effective May 17,…

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Image by Stephen Woods.

Surgery Coding: Narrow Your Options for Birmingham Hip Procedure

Include this term in Box 19 to indicate the type of implant.
Question: One of our surgeons says we should use a total hip code for Birmingham resurfacing even if he doesn’t complete a total hip procedure; another physician says to use an unlisted code . What’s the correct answer?
Washington Subscriber
Answer: Both of your physicians could […]

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  1. Test Yourself: Total Knee Replacement (TKR) Coding Can you tackle an op note like this one…
  2. How Do I Code An Arthroscopic To Open Ankle Surgery?Question: Our surgeon attempted to remove a loose body in…
  3. Podiatry Coding Education: 28293 For Joint Replacement for Hallux LimitusQuestion: Our podiatrist performed a joint replacement for hallux limitus and…
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Use This Podiatry Scenario to Perfect Your Emerging Technology Claims

Hint: If you try to use an unlisted code, be sure your OP notes include this information.
If you don’t know the ins-and-outs of coding cutting edge procedures, you risk getting left in the dust as medicine continues to evolve. A new techniques, however, doesn’t always mean a new, corresponding CPT code. Check out this podiatry […]

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  1. Podiatry Coding Clinic: G0245 and G0246Here’s when you may need to get an ABN Medicare…
  2. Podiatry Coding Education: 28293 For Joint Replacement for Hallux LimitusQuestion: Our podiatrist performed a joint replacement for hallux limitus and…
  3. Finger Modifiers Give You a Grip on Hand Surgery Claims Get a Handle On Hand Surgery Claims By Fixating…
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Our Chicago reporter

Medicare’s Consult Rule Trickle Down Effect

And what it means for pediatric practices. A report from AMA in Chicago.
Although CPT clarifies the transfer of care definition, the fix came too late for Medicare, meaning your private payers may follow suit.
Continued Errors Result in E/M Boon
The Office of Inspector General found a high error rate on consultation codes. Different opinions on when […]

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  1. Medicare 2010 CPT Consultation Code ChangesNew rules for consult coding straight from the AMA Meeting…
  2. CMS at AMA Chicago: We’re Reducing Consult Request RequirementCMS auditors will look for 1 less thing in consult…
  3. AMA Symposium Report: Low-Level Consult Reporting in 2010 Hey, Coding News readers! It’s your turn to weigh…
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