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How to Level PFSH in EM Coding | EM Coding Tips
Q: PFSH Leveling in EM Coding – “Can you go over how to level PFSH in EM coding? On your form you show 1-2 is pertinent and 3 is complete but if it is an established patient 2-3 is considered …
Medical Coding Blog
Copayments, Coinsurance and Deductibles and Payer Payments
Copayments, coinsurance and deductibles Q: Why is it so important to collect the copayment at the time of service? A: For the most part, the OIG Special Fraud Alerts have been reserved for national trends in health care fraud and …
Breast Cancer Specific Details Now Required | Medical Coding Guidelines
Q: “Can you present something on Breast and Cancer areas, since treatment is now being focused on the unique or rare type the patient is felt to have?” A: What I did is I did some research and in truth …
Coding Hypertension Controlled vs. Uncontrolled
Q: “How do you make a distinction between controlled and uncontrolled hypertension?” A: The simple answer to this is your physicians or the documentation that you’re reviewing should clearly indicate whether the patient is hypertension is controlled or uncontrolled. Typically, …
BHAT Manuals | Bubble Highlight & Annotate Technique by Laureen Jandroep
Laureen: I had a question for the group: how many here that are left with us still are into Serious Inc? Give me a “1” if you’re into Serious Inc. Jo-Anne: I do not know what that means. Laureen: We were …
Coding Alcohol and Smoking Dependence vs. Severe Use Disorder
Q: “Can you code Dependence say for Alcohol if the provider states it as Alcohol Use Disorder-Severe? Since it does not say dependence but the provider says he is going by the DSM-V and it is dependence and they are …
Wound Care and Laceration Repairs | CPT Coding Tips
Q: Wound Care and Laceration Repairs — “Could you do some scenarios with wound care at the next webinar? I am noticing a lot of those type questions on the CPC practice exams and am weak in that area. For …
Timely Filing for Claims and Appeals | Medical Billing Tips
Q: Timely Filing for Claims and Appeals — “Please explain filing limits with insurance claim processing” for the initial claim as well as the appeal process. A: Basically, we’ll be covering information about how all insurance companies do enforce filing …