G. John Verhovshek, MA, CPC

Here are six basic requirements to meet incident-to guidelines and get properly reimbursed for your care.

Here are six basic requirements to meet incident-to guidelines and get properly reimbursed for your care.

Here are six basic requirements to meet incident-to guidelines and get properly reimbursed for your care.

When do you use modifier 25 or 57? Coding expert John Verhovshek explains the difference when coding an E&M service.

Using telehealth services? Here are the basics on reporting this to Medicare, in order to get properly paid.

Everything you want to know about coding a transitional care management encounter, including what services are included.

Revised codes and coding guidelines for 2017 completely change reporting for moderate sedation services. Here's what you have to know.

CPT designates six codes to report vaccine administration. Here's how to make sure you are reporting the correct service and conditions.

Coding for TCM services should include global periods; dates of service; and correct documentation.

TCM helps patients transition from the hospital to the community. Many physicians, however, miss deserved reimbursement because they lack documentation.

Physicians who spend significant time coordinating a patient's care may realize reimbursement in several ways.

Proper documentation and reporting of codes for prolonged services allows providers to improve compensation for lengthy outpatient services.

Physicians should use modifier 58 to indicate a staged or related procedure that was planned in advance.

Physicians spend significant time managing patients with chronic diseases. Now, under certain conditions, they can be paid for their time.

When billing for an unplanned return to the OR that is related to the original procedure, use modifier 78.

When choosing between modifier 52 and modifier 53, ask yourself, "Why did the provider not complete the procedure or service?"

Insurers typically do not reimburse an E&M service and procedure performed on the same date of service. But, careful documentation can change that.

Medical coding is a challenge, but a dose of caution will help you to avoid many of the most common coding errors. Here are four areas to watch.

Coverage and reporting requirements for pneumococcal vaccine in Medicare beneficiaries has recently changed. Here's what you need to know.

It's possible to be reimbursed for a preventive visit and a problem-focused visit performed on the same day, but proper documentation and coding is critical.

Physicians may find that revised coding guidelines allow their coding and billing to better reflect the documented level of service provided.

The incident-to rules can be confusing for many physicians, practice managers, and billers and coders. Here's some helpful guidance.

In the outpatient setting, physicians should never assign a diagnosis unless that diagnosis has been confirmed by diagnostic testing, or is otherwise certain.

Not only should your practice prepare to use new modifiers by Jan. 1, you might also experience even greater scrutiny of future modifier 59 claims.

If a CMS proposal goes into effect, primary-care providers are likely to be called on more often to provide follow-up care (primarily, evaluation and management services).

Except where CPT guidelines state otherwise, follow these four tips to ensure you’re reporting time-based services correctly.

Here's why you should seek - and more importantly, how to code - reimbursement for after-hours services at your medical practice.