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
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Great Resources

  1. “AAOS Complete Global Service Data for Orthopaedic Surgery”, Ed. 2013.  
  2. “A Manual of Orthopaedic Terminology”, 6th Ed, by Carolyn Taliaferro Blauvelt and Fred R.T. Nelson ISBN #0-8151-2787-1
  3.  Medical Abbreviations: Ninth Edition, Neil M Davis, http://www.neilmdavis.com/ 
  4. Global Surgical Calendar www.myaccountability.org
  5. AAPC – at www.aapc.com or 1-800-626-2633
  6. Advanced Coding Education Guide for Orthopedics 2012 -https://store.decisionhealth.com/Product.aspx?ProductCode=H5379
  7. FAQ Guide to Orthopedic Coding - https://store.decisionhealth.com/Product.aspx?ProductCode=H5400
  8. CMS Program Memoshttp://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/index.html?redirect=/manuals/
  9. Gray’s Anatomy on line http://www.bartleby.com/107/
  10. OIG website https://oig.hhs.gov/
  11. HIPAA privacy statements http://aspe.hhs.gov/admnsimp/prmiles.htm#pressreleases
  12. Federal Register index - 2013 http://www.gpo.gov/fdsys/browse/collection.action?collectionCode=FR&browsePath=2013
  13. CMS website http://www.cms.gov/
  14. OIG work plan for 2013  https://oig.hhs.gov/reports-and-publications/workplan/index.asp 
  15. CMS leadership information http://www.cms.gov/About-CMS/Agency-Information/CMSLeadership/index.html?redirect=/CMSLeadership/
  16. OIG Fraud and Abuse department https://oig.hhs.gov/fraud/
  17. OIG semiannual report regarding coding errors and more https://oig.hhs.gov/reports-and-publications/oas/index.asp  
  18. Improper FY 2001 Medicare http://oig.hhs.gov/oas/reports/cms/a0102002.htm
  19. Improper FY 2000 Medicare http://oig.hhs.gov/oas/reports/afma/a0002000.htm
  20. Improper FY 1999 Medicare Fee-for Service Payments http://oig.hhs.gov/oas/reports/afma/a9901999.htm
  21. Medicare Learning Network  http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/index.html?redirect=/MLNMattersArticles/ 
  22. CMS Open Forum http://www.cms.gov/Outreach-and-Education/Outreach/OpenDoorForums/index.html?redirect=/opendoorforums
  23. Orthopedic Operative note coder - https://store.decisionhealth.com/Product.aspx?ProductCode=OON4
  24. American Academy of PA http://www.aapa.org/the_pa_profession/federal_and_state_affairs/resources/item.aspx?id=758l
  25. Medical Compliance Training http://www.medicalcompliancetraining.com/
  26. AMA Category III codes http://www.ama-assn.org/ama/pub/physician-resources/solutions-managing-your-practice/coding-billing-insurance/cpt/about-cpt/category-iii-codes.page
  27. Board of Advanced Medical Coding (BAMC) http://www.medicalspecialtycoding.com/