by Betty A. Hovey | May 10, 2023 | Article
What Are They, and What Do We Do With Them? CMS (Centers for Medicare and Medicaid) is always implementing various programs and initiatives aimed at reducing fraud, waste, and abuse. One such initiative is Comparative Billing Reports (CBRs). In this article, an...
by Betty A. Hovey | Feb 3, 2023 | Coding Quandry
Question: One point of clarification I’ve wondered about. What defines the chronicity of the condition? Is it if it’s lasted more than one year already for the patient or is it if we know that it’s going to last more than a year even if it’s...
by Betty A. Hovey | Apr 7, 2022 | Coding Quandry
Question: When I am performing a shave biopsy, I append diagnosis code D48.5 to the service. My coder is telling me that it is incorrect, and I should use D49.2 instead. Who is correct? Answer: The coder is correct on this one. D48.5 is Neoplasm of Uncertain...
by Betty A. Hovey | Feb 6, 2022 | Coding & Documentation Highlight
In CPT this year, there are new Category I codes for Principal Care Management (PCM). CPT CODE DESCRIPTION #•99424 Principal care management services, for a single high-risk disease…; first 30 minutes provided personally by a physician or OQHCP, per calendar month...
by Betty A. Hovey | May 5, 2021 | Article, Telehealth
The pandemic and the public health emergency (PHE) it brought along with it, have changed how health care is delivered. Commercial payors have been more amenable to paying for telehealth services in prior years. Due to the pandemic, CMS decided to relax its...
