Misusing modifier -25 (significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service) can be an expensive proposition. Just ask Georgia Cancer Specialists I, a leading oncology practice in Atlanta.
Our coding experts answer your questions about how to determine the correct units for drugs, billing for fluoroscopy, therapy caps under OPPS, and payment for critical care and separately reported services
Coding accuracy in postoperative complications impacts a facility's Medicare claims profile, error rate, and physician profiles on hospital watchdog websites that monitor performance.
Coders need to code. This much you know. But with the transition to ICD-10-CM/PCS occurring perhaps as soon as October 1, 2014, they'll need to know a bit more than just raw coding. Now is a good time to review and update current coding descriptions, procedures, and job titles to streamline and reengineer your coding team's work flow, says Luisa DiIeso, RHIA, MS, CCS.
