Archive for 'Toolkit'
Posted on 16. Sep, 2010 by jennifer.godreau.
Math is an essential skill for your biller to have. Test candidate’s using this handy mathematics test submitted by Becky Price with Southeastern Primary Care Specialists.
1) 10 Key Math Test:
87.88 24.00 (more…)
Posted on 08. Jun, 2010 by Editor.
You’ve treated your chiropractic patient, you’ve selected the correct codes, and you’ve submitted your claim. All set, right? Not quite. Check out this common mistake that chiropractors make.
“Many chiropractors do not create written chiropractic treatment plans for every new patient,” says Marty Kotlar, DC, CHCC, CBCS, president of Target Coding, a chiropractic coding and billing consulting firm. Use this checklist to ensure you send Medicare the information CMS most wants to see included “with every new patient plan of care,” Kotlar says: (more…)
Posted on 27. May, 2010 by Editor.
Careful: Skip over codes for legs and zero in on foot codes.
With the many graft options — including those taken from cadavers, pigs, and newborns — correctly coding a skin graft procedure can leave you guessing. Use this chart to narrow down the grafting field by matching definitions, product names, and treatment applications to CPT codes. Then, you’ll be sure to sail through coding your next graft claim.
Don’t miss: (more…)
Posted on 24. May, 2010 by Editor.
You’ve got so many compliance acronyms flying at you every day that you may not be able to differentiate your RAC from the OIG. Know these quick facts about RACs to stay better informed.
- Recovery audit contractors (RACs) detect and correct past improper payments so CMS and the MACs can prevent such problems in the future
- RACs are hired as contractors by the government, and they can can collect “contingency fees,” which means that they get a percentage of the amount that they recover from providers who were paid inappropriately The maximum RAC lookback period is three years, and they cannot review claims paid prior to Oct. 1, 2007 (more…)
Posted on 09. May, 2010 by Editor.
You’ve offered discounts, payment plans, and more,but you still haven’t received payment from a patient. You may be forced to do a write-off at this point, says Steve Verno, CMMC, CMMB, NREMT-P, a medical billing consultant and educator in Orlando, Fla. Your practice is justified in writing off a patient’s balance in the following situations:
1. The cost of collecting a balance is more than what the patient owes. For example: A patient’s balance due is $3 after all insurance payments. The administrative cost to bill and collect is at least $15 per statement. “You don’t spend $15 to collect $3,” Verno says. (more…)
Posted on 09. Apr, 2010 by Editor.
Keep this job aid nearby to keep your Hodgkin’s coding in the clear.
Speed your coding for ABVD chemotherapy coding with this handy summary of the codes most likely to appear on your claim.
But remember: Base your final code choices on the services, drugs, and diagnosis documented. (more…)
Posted on 12. Mar, 2010 by Editor.
Attach your procedure notes and the OIG’s report to pack extra punch.
Even if you follow all of CMS’s rules in reporting modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service), your Medicare payer may sometimes still choose to deny your claim.
If you feel you deserve the pay for the EM service you performed, you should appeal the denial. Alice Kater, CPC, PCS, coder with Urology Associates of South Bend in Indiana, offers the following sample appeal letter (below) as an example of how she has challenged her payer to collect rightful reimbursement. (more…)
Posted on 19. Feb, 2010 by Editor.
Record visual fields interpretation and report the right way.
Visual fields are a compliance hot spot. Optometrists should use the visual field interpretation and report (I&R) to record what their thinking process was at that moment by recording any changes noticed, how the field compares to other testing like OCT (92135, Scanning computerized ophthalmic diagnostic imaging, posterior segment, [e.g., scanning laser] with interpretation and report, unilateral), their plan for treatment (or not) and when the field needs to be run again. (more…)
Posted on 12. Feb, 2010 by Editor.
Stuck on how to tackle this op note or those sitting on your desk? Follow this advice, provided by Melanie Witt, RN, CPC, COBGC, MA, an ob-gyn coding expert based in Guadalupita, N.M. and co-presenter of the “Ob-Gyn Op Notes” session at the 2009 Ob-Gyn Coding & Reimbursement Conference in Orlando.
Step 1: Itemize procedures.
Step 2: Assign CPT codes.
Step 3: Eliminate “standard” procedures. (more…)