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CE Articles
Clinical indications and outpatient coding for common forms of cancer

Cancer is the second most common form of death in the U.S., according to the Centers for Disease Control. To accurately report CPT and ICD-10-CM codes for skin and breast cancer, coders need a thorough understanding of symptoms of malignancies and treatments used to prevent them from spreading.

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Review diagnosis criteria, codes for cognitive impairment
Cognitive impairment ranges from mild to severe and can impact a person’s ability to perform everyday functions such as talking, remembering, and comprehending information. Debbie Jones, CPC, CCA, reviews CPT and ICD-10-CM coding and care planning for patients living with cognitive impairment.
CMS is focusing on drug payment policies—how will this manifest in 2019 rulemaking?
Hospital systems need to be watchful for CMS proposals that will impact payment for drugs and drug therapies in 2019 and beyond. Jugna Shah, MPH, reviews the potential implications of recent CMS actions, such as the publication of the 2019 IPPS proposed rule and the overhaul of 340B drug payment program.
Healthcare News: HRSA finalizes fifth delay to 340B rule on drug prices, civil monetary penalties
Despite considerable opposition from hospital systems, on June 1, the Health Resources and Services Administration finalized its decision to delay the implementation of a 340B rule on drug ceiling prices and civil monetary penalties for manufacturers.
Q&A: Correct usage of modifiers -LT/-RT vs. -50
Q: I am confused about the difference between the laterality modifiers -LT and -RT and modifier -50. Can you explain?
 

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SelectCoder Tip of the Week

CPT codes 99446, 99447, 99448, and 99449 are used to report interprofessional telephone/internet assessments and management services provided by a consultative physician. These services include a verbal and written report to the patient’s treating/requesting physician or other qualified healthcare professional. Code 99446 should be reported for 5-10 minutes of medical consultative discussion and review; 99447 for 11-20 minutes, 99448 for 21-30 minutes; 99449 for 31 minutes or more.

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Drug administration is one of the most commonly performed procedures in outpatient departments, but many coders, billers, and clinicians still have unresolved questions about following the hierarchy, reporting difficult scenarios, or including the appropriate details in documentation.

Join expert Jugna Shah, MPH, on Wednesday, June 6 for this 3-hour interactive workshop, during which she will guide participants through a 25-question review of injection and infusion basics.

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


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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.

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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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