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Understanding when and how to report hospital modifiers is critical to ensuring compliant billing.
Trouble viewing? See it online! Wednesday, June 20, 2018
 

CE Articles
Clarifying reporting for frequently misused modifiers -25, -50, and -59
Understanding when and how to report hospital modifiers is critical to ensuring compliant billing. Review CPT guidelines for modifiers -25, -50, and -59, as well as case studies and denial numbers by specialty, to reduce your risk from audits.

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Identify key characteristics and ICD-10-CM coding for the rare genetic condition, Cornelia de Lange syndrome
Cornelia de Lange syndrome is a genetic disease that could be misdiagnosed due to its rarity. Yvette DeVay, MHA, CPC, CPMA, CIC, CPC-I, reviews symptoms, procedural treatments, and ICD-10-CM coding for the condition.
How to identify what payers are looking for in healthcare claims
Provider documentation must meet required standards to support the level of care provided. Rose Dunn, MBA, RHIA, CPA/CGMA, FACHE, FHFMA, CHPS, reviews payer guidelines and medical necessity requirements under Medicare for services performed in the outpatient setting.
Healthcare News: CDC releases 2019 ICD-10-CM code updates
The Centers for Disease Control and Prevention released the fiscal year 2019 ICD-10-CM code changes on Monday, June 11. The update includes 279 code additions, 143 revisions, and 51 deletions.
Q&A: Reporting multiple IV push administrations with a subsequent infusion
Q: A patient presents to the emergency department with chest pain. The physician orders multiple services along with a subsequent infusion without a stop time. What CPT codes would be used to report these services?
 

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JustCoding’s June Member Spotlight

This month, we are pleased to introduce Kathleen D. Schaum, MS, president and founder of Kathleen D. Schaum & Assoc., Inc., who has 50 years of experience in medical reimbursement and 20 years of experience, specifically in wound care reimbursement.
 

SelectCoder Tip of the Week

When pneumonia is diagnosed in a patient who also has chronic obstructive pulmonary disease (COPD), the coder should assign J44.0 (chronic obstructive pulmonary disease with lower respiratory tract infection) and the specific code to indicate the type of pneumonia. Sequence according to importance to care.

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JustCoding News: Outpatient
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JustCoding's Member Spotlight

Kathleen D. Schaum, MS, president and founder of Kathleen D. Schaum & Assoc., Inc., has 50 years of experience in medical reimbursement and 20 years of experience, specifically in wound care reimbursement.

Why did you get into this line of work?

Early in my career I learned that the U.S. medical reimbursement system is like no other in the world: every site of care has a different payment system, providers are often reimbursed different amounts (some are not reimbursed at all), and every new product and procedure is required to jump through a myriad of hurdles to gain coverage from the various payers throughout the country.

Continue reading the member spotlight here.

JustCoding is always looking for more members to feature in this section. If you’d like to share your coding story, please email editor Sarah Gould at sgould@hcpro.com.
 

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