04/04/19 | Watch your "stem cell" wording - On going FBI investigations

For those offices that are using the wording 'stem cells' or charging patients for these services you need to be aware of the FBI ongoing investigations.

Watch your
02/28/19 | Great article on the issues with 63047 and 22633 and 22630

Find out about the issues between 22633/22630 and 63047 and get the history of these codes.  Great information you can use for your private payer appeals.

Great article on the issues with 63047 and 22633 and 22630
01/02/19 | Accessing Newsletters

How to get newsletters

Accessing Newsletters
01/02/19 | Calendar events

Calendar events

Calendar events
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
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 Coding -
    • Provide surgical operative note coding for Orthopedic related procedures.  If your group is struggling to stay up with operative coding and billing either due to back-log, coder retiring or out of leave, or while trying to hire a coder for your group, this service is available.  The fee consideration would be based on length of timie needed, number of surgeons to code for, and types of cases.
  • 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 -
  • Advanced Coding Education Guide for Orthopedics - Coming back in 2020 from DecisionHealth.com 
  • 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