Insurance Payment Paid and Allowed 100% of Charged Amount – don’t celebrate! Let me tell you why!
Mar12

Insurance Payment Paid and Allowed 100% of Charged Amount – don’t celebrate! Let me tell you why!

I asked some of my readers about how they will feel if their claims has an allowed amount that is at 100% of the charged amount, wow! So, meaning, when you bill for $2000.00 and the insurance made their determination at 100% of your charges… you bill $2,000, they allowed $2,000 – would you be happy?… Please LOGIN HERE to view this content. Or, REGISTER...

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Anesthesia Cross codes for Interventional Pain Management Spinal Procedures
Mar05

Anesthesia Cross codes for Interventional Pain Management Spinal Procedures

Anesthesia Cross codes for Interventional Pain Management Spinal Procedures Since most of the codes are image guided and are spinal procedures; the most appropriate Anesthesia codes will be: 01935 Anesthesia for percutaneous image guided procedures on the spine and spinal cord; diagnostic (Base Unit 5) 01936 … therapeutic (Base Unit 5)   Let’s look at… Please LOGIN HERE to view this content. Or, REGISTER...

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Physical Therapy Billing | Understanding Medicare Guidelines
Jan08

Physical Therapy Billing | Understanding Medicare Guidelines

Physical Therapy Billing  can be a challenge. It can definitely affect your reimbursement if you are not too sure how to properly submit your claims. These services are only covered if medically necessary. Coverage based on the diagnosis and the patient’s condition should also be determined. The patient’s diagnosis may be different of that from the… Please LOGIN HERE to view this content. Or, REGISTER...

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2017 New Physical Therapy Evaluation Codes – Final Rule
Oct14

2017 New Physical Therapy Evaluation Codes – Final Rule

Here comes 2017 and we have 3 New Physical Therapy Evaluation Codes. CMS has proposed a new physical therapy codes for 2017 as part of the Medicare Physician Fee Schedule (CMS-1654-P) proposed rule for 2017 . We have now the: 2017 New Physical Therapy Evaluation Codes Key Points: Each of these codes are not “time-based”; typical time is used as a guidance only Complexity (low-medium-high) Therapy Evaluation encounter MUST...

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Billing Ultrasound with Pain Management Codes 64479, 64483, 64490, 64495
Dec15

Billing Ultrasound with Pain Management Codes 64479, 64483, 64490, 64495

Billing Ultrasound with Pain Management Codes can be tricky. Here’s one of my client’s question for me: Hi, Ms. Pinky, this is regarding coding for Transforaminal Epidural, Paravertebral Facet Joint, Epidurals and SI Injection with Ultrasound. Can we separately bill for the Ultrasound? Here’s my insights: Well, lookig at each of this procedure: Per CPT… Please LOGIN HERE to view this content. Or, REGISTER...

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