News & Analysis

December 1, 2013
Briefings on APCs

Q. Can a medically unlikely edit (MUE) and National Correct Coding Initiative (NCCI) edit be triggered on the same claim?

December 1, 2013
Briefings on APCs

Healthcare providers are used to regularly changing guidelines and regulations that drastically alter their processes for coding and billing. Despite few guideline changes since 2008, drug administration still frequently causes confusion because of all the necessary factors to properly document, code, and bill the services.

November 1, 2013
Briefings on APCs

Our experts answer questions about followup visits in the ED, skin substitutes, flu vaccines, osteoporosis and fractures in ICD-10-CM, ICD-10-CM external cause code, modifier for discontinued cardioversion, and modifier -25

October 1, 2013
Briefings on APCs

Despite its apparently straightforward definition in the CPT® Manual, modifier -59 (distinct procedural service) can be deceptively difficult to append properly.

October 1, 2013
Briefings on APCs

CMS added modifier -AO (provider declined alt payment method) and new HCPCS codes to the I/OCE as part of the October 2013 quarterly update found in Transmittal 2763.

October 1, 2013
Briefings on APCs

Our experts answer questions about NCCI edits for injections, modifier -25, modifier -59, laminotomy with insertion of Coflex distraction device, billing mammogram for needle placement, and auditing electronic orders.

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