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CE Articles
Navigating medical necessity guidance in the outpatient setting

In the current healthcare climate the issue of medical necessity documentation, or lack thereof, is one of the most common reasons for claim denials. Review medical necessity guidance from CMS and learn how to prevent repeated denials due to improper documentation of medical necessity.

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Select the most specific ICD-10-CM and CPT codes for weight-related services
The beginning of a new year typically brings new resolutions to deal with weight-related issues. Shelley C. Safian, PhD, RHIA, HCISPP, writes about ICD-10-CM coding for common weight-related diagnoses such as obesity and anorexia, and CPT coding for behavioral interventions used to treat them. 
Revised supervision rules free up radiology services for assistants
CMS has downgraded the supervision requirements for services performed by radiologist assistants working in medical practices, imaging centers, and radiology offices. Read about these 2019 changes to ensure accurate documentation and reporting for radiology services.
Healthcare News: Lack of granularity in CPT codes for colorectal procedures skews outcomes data, study says
A recent study conducted by physician researchers at Stanford University highlights the challenges of CPT code-based patient classification and subsequent outcome analysis for colorectal procedures.
Q&A: CPT reporting for ultrasound elastography services performed with additional ultrasound services
Q: Can you bill CPT codes 76981 (ultrasound, elastography; parenchyma) and 76982 (ultrasound, elastography; first target lesion) at the same time as CPT codes for liver and breast ultrasounds?
 

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SelectCoder Tip of the Week

Do not assign a code from ICD-10-CM code category F11.- (opioid related disorders) for prescribed opioid use alone. Without provider documentation of an associated physical, mental or behavioral disorder, “opioid use” is not coded.

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Injections and Infusions: Resolve Frequent Coding and Billing Challenges

Drug administration continues to generate confusion for coders and billers— as well as get the attention of CMS and third-party auditors. 

During this 90-minute webinar on Monday, February 11 at 1:00 p.m. Eastern Time, expert speakers Jugna Shah, MPH, and Valerie Rinkle, MPA, will provide an overview refresher of drug administration coding and billing. Shah and Rinkle will cover commonly encountered challenges and discuss how to select the correct codes for reporting these services.

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


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