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Coding Quandry

Chronicity of the Condition

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 only lasted a few months?...

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Shave Biopsy

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...

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Chronicity of the Condition

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 only lasted a few months?...

Shave Biopsy

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...

Telehealth and the OIG Work Plan

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...

Webinar: 2021 E/M Changes

Presenter: Betty Hovey, CCS-P, CDIP, CPC, COC, CPMA, CPCD, CPB, CPC-I Time: 1:00 hour Cost: FREE to all BC Advantage Magazine subscribers CEU: 1.0 CEU approved Must complete before 11/22/2021 Objective: This presentation will provide excellent information about the...

2021 E/M Changes: Are You Ready?

2021 E/M Changes: Are You Ready?

The last big change for Evaluation and Management (E/M) coding was in 2010 when Medicare stopped accepting consultations. Not since 1997 have the guidelines gone through such a big adjustment. Due to the pandemic, though, many practices are not prepared for this...

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Recent Articles

Telehealth and the OIG Work Plan

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...

read more

Webinar: 2021 E/M Changes

Presenter: Betty Hovey, CCS-P, CDIP, CPC, COC, CPMA, CPCD, CPB, CPC-I Time: 1:00 hour Cost: FREE to all BC Advantage Magazine subscribers CEU: 1.0 CEU approved Must complete before 11/22/2021 Objective: This presentation will provide excellent information about the...

read more

2021 E/M Changes: Are You Ready?

The last big change for Evaluation and Management (E/M) coding was in 2010 when Medicare stopped accepting consultations. Not since 1997 have the guidelines gone through such a big adjustment. Due to the pandemic, though, many practices are not prepared for this...

read more

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