When coding for metastatic cancer, there are some terms that need to be understood to determine which cancer is primary and secondary for reporting purposes. The definition of cancer is abnormal cells –or- cells that do not die when they should –or- cells that change into something they should not be. Metastatic cancer is cancer … Continue reading Understanding Metastatic Cancer Coding
Surgeons: Are you using your Modifiers?
Even though there is a global period for most minor and major procedures you still can bill for certain services by reporting them with the appropriate modifier. Important Modifiers for Surgeons are: Modifier 25- If you see a patient for a new problem and that visit results in the decision to perform a minor procedure … Continue reading Surgeons: Are you using your Modifiers?
Body Mass Index Coding Tips
Here are some important tips for reporting reporting the Body Mass Index (BMI) on claims. You cannot report a BMI ICD 10 code if that is all that is documented in the medical record, you have to also have the weight recorded in the medical record to report the BMI on a claim. If the … Continue reading Body Mass Index Coding Tips
Top Denials For Medicare Texas And Claim Reason Codes
Are you tracking your denied claims on a daily basis for correction and refiling of these claims? When a claim is denied on the first pass submission you will only receive the electronic rejection notice. Below are the top 5 reason for denial of Texas Medicare Claims and how to fix the claims: 96- Non … Continue reading Top Denials For Medicare Texas And Claim Reason Codes
The Journey Begins
Thanks for joining me! Good company in a journey makes the way seem shorter. — Izaak Walton