CE Articles

Building a robust coding compliance plan

Facilities can limit their exposure to claim denials and external reviews by implementing a robust internal coding compliance program. This article breaks down components of a coding policy and compliance plan and approaches to monitoring coding quality.

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Clarify ICD-10-CM coding for bruxism

Bruxism, or excessive teeth grinding, is a common condition that is often brought on by stress and anxiety. Debbie Jones, CPC, CCA, describes the causes and symptoms of bruxism and ICD-10-CM coding for the condition.

Append modifier -FT to E/M codes for unrelated visit services

Physician service modifier -FT for unrelated E/M visits provided on the same day has been a source of confusion for many coding and billing professionals. Review the latest coding and billing guidance for reporting this modifier.

Healthcare News: CMS introduces 4,000 new NCCI PTP edits in April update

CMS recently released an update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) edit files, introducing more than 4,000 new CPT code pairs. The PTP edits took effect April 1 and primarily involve codes found in the pathology and laboratory section of the CPT Manual.

Q&A: HCPCS coding for discarded CTP using modifier -JW

Q: How do you code and bill for wound debridement involving the disposal of unused cellular-based tissue product (CTP)?

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Platinum members can access new clinical encyclopedia entries for bruxism and cystic fibrosis. If you are not a Platinum member and you want to upgrade your account, please call customer service at 800-650-6787.

Free quiz

Test your knowledge with this week’s free quiz, which features ICD-10-CM codes for stomach conditions.

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SelectCoder Tip of the Week

When osteomyelitis is specified as due to diabetes mellitus due to an underlying condition, code first the underlying condition, and assign ICD-10-CM code E08.69 (diabetes mellitus due to underlying condition with other specified complication), followed by the appropriate code to specify the type and location of the osteomyelitis. This classification presumes a cause and effect relationship between osteomyelitis and diabetes when no other cause is documented. Use the appropriate code for the osteomyelitis after coding diabetes with other specified manifestations.

Interested in more coding tips and claim validation tools? Click here to sign up for a demo or to learn more about SelectCoder.

Platinum Newsletters

Platinum members can view the latest stories from Briefings on APCs and Briefings on Coding Compliance Strategies.

Product Spotlight

NCCI Modifier Review: Navigate Chapter-Specific Coding and Reporting Guidance

During this 60-minute webinar on Thursday, April 28, Sarah L. Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS, will review the latest National Correct Coding Initiative (NCCI) guidance for hospital reporting. Listeners will learn when to use modifiers to prevent and override procedure-to-procedure and Medically Unlikely Edits, tips for reporting and billing, and case scenarios for the most challenging modifiers.

For more information, call 800-650-6787 or visit the HCPro Healthcare Marketplace.

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Sarah Gould, CPC
Editor
JustCoding News: Outpatient
editor@justcoding.com

HCPro
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