09/26/18 | Scam audio flyer Fionexia - please don't sign up

It has come to my attention that there is a flyer (from Fionexia) that is going out from a company that is fraudualent and stating I am doing an audio for them.  Please do not sign up it is a scam.  The audio they are advertising was done for AudioEducator.com. It appears if you pay for it you may not get anything for your pay!!!

Scam audio flyer Fionexia - please don't sign up
08/11/18 | Margie Vaught Newsletters

Now you can access and download the newsletters directly from this site. 

Margie Vaught Newsletters
07/20/18 | 2019 Proposed Fee schedule released

Proposed 2019 Fee Schedule is out – hang on to your seats…

CMS released the 12th of July the proposed changed for the physician fee schedule for 2019 (https://www.cms.gov/Newsroom/MediaReleaseDatabase/Press-releases/2018-Press-releases-items/2018-07-12.html).

2019 Proposed Fee schedule released
07/20/18 | CPT updates policy of 63047 with 22633

CPT updates their policy regarding nerve root decompressions and interbody fusions

AANS, NASS and AAOS have been working hard on getting CPT to change their previous October 2016 CPT Assistant regarding nerve root decompression 63047 and interbody fusion 22633 being inclusive

CPT updates policy of 63047 with 22633
03/05/18 | Total knee arthroplasty (27447) removed from Inpatient only list – causing confusion

You may have been experiencing feedback from a facility when trying to schedule your total knee replacements as inpatients. 

Total knee arthroplasty (27447) removed from Inpatient only list – causing confusion
07/10/17 | New Category III codes effective Jan 1st, 2018

You will want to update your bone marrow aspiration coding for 2018 as well as some adipose-derived cell therapy for hands

New Category III codes effective Jan 1st, 2018
07/10/17 | Spinal surgery

If you do any spinal surgery you want to be aware of the Medicare changes that are taking place regarding number of levels, number of cages as well as diagnosis issues.

Spinal surgery
06/10/16 | CMS starting to list ICD-10s not covered
  Unspecified ICD-10 codes be careful
CMS starting to list ICD-10s not covered
Archive - See All Entries




With over 22 years experience in the Healthcare arena, in positions from nurse’s aide to ward clerk and medical transcriptionist to office manager, Margie understands how offices are structured.  She obtained Certified Professional Coder (CPC) designation in 1995 from the American Academy of Professional Coders (AAPC), where she served as a National Board Member for over 3 years.  Currently she is performing work for the AAPC as a technical advisor and support person, in the Education Department. Also in 1995 she obtained the status of Professional Credit Executive (PCE), which deals with extending credit issues, bankruptcy and collection efforts under the current legal system.  She further obtained the designation of CCS-P (Certified Coding Specialist – Physician) in September 2000 from American Health Information Management Association (AHIMA). Having also obtained the credential of Medical Compliance Specialist-Physician (MCS-P) in Jan. 2001, thus giving a more detailed background of compliance issues as outlined by the OIG. She has also obtained the designation of Advanced Coding Specialist – Orthopedic (ACS-OR) in 2003 along with Certified Professional Coder – Hospital Based (CPC-H) in August 2004. She is a recognized AAPC Approved PMCC Instructor. 


Currently she serves as the technical advisor for the Orthopedic Practice Coder, for Decision Health.  Contributes articles to AAOS Bulletin on an ongoing basis as well as other publications such as AAPC Coding Edge, Orthopedic Technology Review and CodeCorrect Website. Adding to this she also performs internal audits, education and training of physicians and office staff, and helps clinics establish billing and coding compliance manuals, as an Independent Consultant. 


Margie has presented at the Annual AAPC conventions since 1996 in regards to coding compliance, E/M documentation and evaluation, and orthopedic coding.  Presented Insurance workshops for the public to help them understand their policies and what to look for.  Other presentations have been for Decision Health - Conquering Orthopedic Coding, The Coding Institute, AAPC regarding surgical coding and compliance, Advanced CPT coding and documentation and Advanced Chart Auditing as well as Compliance issues.  She also presents to physician offices/groups regarding documentation and coding requirements.  Current member of MGMA/ACMPE, BONES, AAPC, Society for Clinical Coding (SCC), PACHOM and AHIMA.  Margie stays current by attending the annual conventions for BONES,  AAPC,  MGMA and also the AMAs CPT symposium. She has also provided testimony regarding correct coding issues and compliance.