Coding & Documentation

Can you code when a patient is so distraught an appropriate history cannot be obtained, nor can a mental status exam be performed?

How to institute vaccine administration codes for patients who are older than 19 years of age. Also, guidance on follow-up codes in electronic billing.

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.

Patients can understand so little about their health plan that the billing department is automatically blamed when something goes wrong.

What state allows for almost 50 percent patient responsibility? Also, which services have the highest percentage of patient responsibility?

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

Our coding expert discusses what to do when Medicare denies a consult code; preparation for Medicare chart audits; and coding for unusual services.

Here's why you should ignore "Incident to" Billing for PA services, which require a significant amount of additional work without a fair return in revenue.

Answers from our coding expert on questions regarding advance care planning; pessary cleaning; and identifying inclusive codes.

While some payer-based investigations into fraud might be based on actual patterns of abuse, most are just an attempt to recoup funds.

Was the fear and trepidation surrounding ICD-10 overstated or is the early success around a lack of denials only temporary for providers?

When you look at your cash inflow each month, are you disappointed? That's why it is so important to identify why your claims are being denied.

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

Since the implementation of the ICD-10 coding system, most claims are processing smoothly and rejection rates have been minimal.

Answers from our coding expert on questions regarding incident-to billing; time-based coding; and specificity in ICD-10.

Answers from our coding expert on questions regarding medical necessity; using the ROS for history of presenting illness; and duplicative coding.

When you are wrongfully denied for a single code or entire claim, do you know what to do?

Answers from our coding expert on questions regarding bronchoscopy; modifier 58 vs. modifier 79; and fourth-year residents.

Despite all the hoopla surrounding ICD-10, nearly half the practices polled by Physicians Practice had no problems in transitioning to the new code set.

Here are three best practices for large practices that need to increase billing efficiency and keep the revenue flowing.

‘Tis the season! Cartoonist Jon Carter reveals that a few Christmas and holiday characters and traditions are just well-disguised ICD-10 codes.

For many physicians like Theo Felts, a family practitioner in Overland, Kan., ICD-10 has been no sweat at all. In this Q&A, he discusses the transition.

Is your practice suffering with ICD-10 or has it been a smooth transition? Take a quick five-question survey and share your experiences.

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

The ICD-10 transition will continue into the next year for practices. Here are some tips you’ll need to take in 2016.

With a dearth of coders thanks to the ICD-10 transition, some practices find that training current staff is the best way to get good coders.

Fall brings a new set of activities that may require new ICD-10 codes at your practice. Here's a list of 15 possible – and funny – autumn injuries.