Category: Blog

13 New Laboratory Codes

13 New Laboratory Codes – Updates & Changes By CMS

Clinical diagnostic laboratories can look forward to 12 new laboratory codes were effective April 1 and one code effective retroactively January 1. The Centers for Medicare and Medicate Services (CMS) released the changes May 5, 2018. The new codes are contractor priced until addressed at the annual Clinical Laboratory Public Meeting in July. All the […]
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Code for Critical Care

The Best Way to Code for Critical Care

Key: Amount of time spent with the patient indicates which code to use. Coding for physician inpatient services, especially critical care, is deceptively straightforward. The reality is that the details of each code requirement can complicate things to the point of complete confusion. Despite the challenges, there are specific strategies you can use to correctly […]
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New Medicare Cards Are Coming

New Medicare Cards Are Coming

The Medicare Access and CHIP Reauthorization Act (MACRA) of 2015, requires us to remove Social Security Numbers (SSNs) from all Medicare cards by April 2019. A new Medicare Beneficiary Identifier (MBI) will replace the SSN-based Health Insurance Claim Number (HICN) on the new Medicare cards for Medicare transactions like billing, eligibility status, and claim status. The […]
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CODING: New FESS Codes for 2018

2018 brings us new functional endoscopic sinus surgery codes (FESS) which bundle a total ethmoidectomy with both a frontal sinusotomy and a sphenoidotomy with and without removal of tissue.  2018 CPT® also provides a new bundled code for a frontal and sphenoid endoscopic balloon dilation. On initial review of these new codes and the instructions […]
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Blue Shield to Require Electronic Claim Submission

On October 26, Blue Shield of California notified physicians that for new or renewing provider agreements for 2018, it will begin requiring practices to submit their claims electronically. All claims, with the exception of those with an accompanying medical record, will be required to be submitted via electronic data interchange (EDI). A complete list of […]
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How to Control Your Accounts Receivable

Best Practices for Managing Aging Accounts Receivable in Home Infusion Billing

Balancing the demands of current billing activity while working through aging accounts receivable (A/R) can place significant pressure on reimbursement teams. Although high-dollar claims should always remain a priority, it is equally important to monitor older claims closely to ensure they are addressed before timely filing deadlines expire. Establishing a structured approach to managing aging […]
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