News & Analysis

This Month's Coding Q&A

October 1, 2014
Briefings on APCs

Our experts answer questions about esophagoscopies, ICD-10-CM terminology, and more.

 

Note from the instructor: Medicare clarifies key components of claims processing for clinical diagnostic laboratory services

September 30, 2014
Medicare Insider

This week’s note is about claims processing of laboratory services. Click the link above for more information and an in-depth analysis.

Note from the instructor: CMS Introduces Review and Denial of Related Claims

September 9, 2014
Medicare Insider

This week’s note is about related claims. Click the link above for more information and an in-depth analysis.

Note from the instructor: New Codes to Replace Modifier 59-New Medically Unlikely Edits (MUE) Guidance

September 2, 2014
Medicare Insider

This week’s note is about modifier 59 replacement codes. Click the link above for more information and an in-depth analysis.

Update on hospital observation reporting and billing

September 1, 2014
Briefings on APCs

Modifier -25 (significant, separately identifiable E/M service by the same physician on the day of a procedure) is used to distinguish visits from procedures on the same day.

It is not used to distinguish observation from a visit service on the same day.

This month's coding Q&A

September 1, 2014
Briefings on APCs

Our experts answer questions about dual coding and CMS' schedule for updating payment rates.

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