Billing G0179, G0180, G0181 and G0182
How to bill care plan oversight codes G0179, G0180, G0181 and G0182 for home health and hospice patients. March 20, 2020.
Telemedicine Services Billing and Payment
How to bill telemedicine visits to Medicare and commercial payers: eligible practitioners, modifiers and codes. March 14, 2020.
The Definition of a Complete Medical History
What a complete medical history contains, what PFSH means, and how an interval history differs. March 10, 2020.
New or Established Patients
When to bill a new patient vs. established patient visit, with the three-year rule and common exceptions. March 7, 2020.
How to Bill a Consultation at the Hospital (Inpatient)
How to bill inpatient consultations: Medicare's 99221–99223 vs. consultation codes 99251–99255 for other payers. March 4, 2020.
Reimbursement for Medicare / Medicaid in New York
How New York Medicaid pays Medicare Part B and Part C cost-sharing for dual-eligible patients. January 17, 2019.
Medicare Program
A quick overview of Medicare Parts A, B, C and D and who qualifies. January 17, 2019.
Complications of Pregnancy
Commonly coded ICD-10 maternity complication codes, from ectopic pregnancy to preterm labor. July 26, 2018.
Orthovisc J7324
Billing Orthovisc (J7324): units, frequency limits, NDC and covered knee osteoarthritis diagnosis codes. May 15, 2018.
Fetal Non-Stress Test (NST) 59025
What CPT 59025, the fetal non-stress test, covers and common reasons it is ordered. February 7, 2018.
Depression Screening
Billing Medicare annual depression screening G0444, and when it can and can't be billed with wellness visits. February 5, 2018.
Colorectal Cancer Screening and Diagnostic
Screening vs. diagnostic colonoscopy, FIT vs. guaiac FOBT codes, and screening diagnosis codes. January 29, 2018.
Chronic Care Management Services
Billing CCM codes 99490, 99487 and 99489: requirements, consent and qualifying chronic conditions. January 29, 2018.
J3301 Injection, Triamcinolone Acetonide, 10 mg
Billing J3301 triamcinolone acetonide (Kenalog): mL to mg to billing units conversion. January 16, 2018.
Care Plan Oversight
Care plan oversight HCPCS codes G0179–G0182: timing rules and Medicare CPO requirements. November 17, 2017.
Timeframe Between Annual Wellness Visits (AWVs)
When a patient becomes eligible for the next Medicare Annual Wellness Visit, with a month-by-month table. October 12, 2017.
Routine Foot Care Billing
When Medicare covers routine foot care, and the Class A, B and C findings behind modifiers Q7, Q8 and Q9. October 12, 2017.
NCCI Modifiers
What NCCI edits are and which modifiers (59, 25, RT/LT, F, T, E) can bypass them when criteria are met. October 12, 2017.
Vaccination and Immunization
Which vaccines Medicare Part B covers, post-exposure vaccines like tetanus and rabies, and the CPT codes to use. September 28, 2017.
Preventive Care Services
Preventive medicine CPT codes 99381–99397, counseling codes 99401–99409, and Medicare obesity counseling G0447/G0473. September 28, 2017.
Transitional Care Management
Billing TCM codes 99495 and 99496: the 30-day period, date and place of service, and billing E/M with TCM. September 26, 2017.
Collection: Working Unpaid Claims
How to work rejected, denied and untouched claims: what to ask the payer, and when to correct, reconsider or appeal. February 12, 2017.
Incident-To Billing
Medicare incident-to billing for NPPs: the six requirements, split/shared visits, and how commercial payers differ. January 12, 2017.