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
 
07/09/15 | Total joint issues from CMS
  Total joint issues from CMS
Total joint issues from CMS
 
12/31/14 | Holding claims and fee schedule issues for 2015
  Medicare wants claims held starting Jan 1, 2015
Holding claims and fee schedule issues for 2015
 
08/20/14 | Medicare finally catching on that modifier 59 is not enough
 
Medicare finally catching on that modifier 59 is not enough
 
07/22/14 | Keep an eye on your private payer contracts..
 
Keep an eye on your private payer contracts..
 
07/22/14 | Proposed 2015 Fee Schedule is out
 
Proposed 2015 Fee Schedule is out
 
Archive - See All Entries

 
  • Monthly Retainer-
    •  Provide coding and billing support related to surgical procedures, office visits, compliance questions and supporting documentation and help in other areas need. These questions can be made via email or by phone cell.  The fee is broken down per number of questions per month 1-5; 5-10; 10-15; 15-20; 20-25; 25-30 and 30 to unlimited.

  • Operative Note Review -
    • This service would be based on notes being faxed not as part of an auditing process. These usually consist of second opinion, advice, etc. (Fax number 413-674-7668).  The fee is broken down per note 1-3; 4-6; 7-9; 10-12; 13-15; 15-24; 25-34;
  • Auditing Note Review -
    • E/M - Perform an audit for physicians and/or midlevel practitioners. This audit will consist of a minimum of 10 E/M encounters for each provider. The records need to include the office/hospital notes and supporting information referred to in the notes and the office encounter /superbill /communication slip that is generated to show the levels of service selected. Each provider will receive a spreadsheet showing the detailed information found during the audit process for each record audited. A detailed report/ analysis will be provided with recommendations for further action including education where indicated.
    • Surgical – Perform an audit for physicians and/or midlevel practitioners. This audit will consist of a minimum of 10 surgical operative notes per provider. See E/M audit for further details.
  • Education and Training - Custom formatted for your needs
    • Audio Presentations
    • In-house training
    • Conference Calls
    • Basic Coding Course
    • ICD-10 audio/webinars
  • A/R review – Appeal Process – Payer Issues – Help evaluate and review EOBs for possible errors in adjustments, write-offs, etc. Provide sample letters and further education regarding medical necessity, unlisted and emergent technology procedures. Tools will also be provided to help with ongoing reviews.
  • PMCC Coding Course - Basic coding course to be able to sit for either the CPC or CCS-P coding credential exams.  This course can be custom-fit for your needs and time frame.
  • Products - Books -
  • Orthopedic Operative Note Coder Volumes 1-4 https://store.decisionhealth.com/Product.aspx?ProductCode=OON4;
  • Orthopedic Coding and Billing Quick cards 2012  https://store.decisionhealth.com/Product.aspx?ProductCode=H5293 
  • Advanced Coding Education Guide for Orthopedics https://store.decisionhealth.com/Product.aspx?ProductCode=H5265 
  • EM documentation Templates - Select based on anatomic presenting condition. Can be used to customize your EHR/EMR systems to make sure you are capturing all the Exam; History and MDM elements. - send an email to info@margievaught.com  for more details and pricing.
  •  Don't see the service you are looking for - contact Margie at info@margievaught.com to ask