09/28/21 | CMS gives more insight into appropriate DOS for imaging

The Center for Medicare and Medicaid Services (CMS) has guidance for reporting the date of service (DOS) for various services. Information provided for global reporting, technical reporting and professional reporting


CMS gives more insight into appropriate DOS for imaging
07/01/21 | New CPT code for Subchondroplasty

Effective July 1st 2021 - the AMA released a new code for Subchondroplasties - are you ready for it

New CPT code for Subchondroplasty
03/17/20 | Telehealth regulations loosened

With the Coronavirus issues CMS has loosened the regulations and HIPAA issues that have caused concerns about when telehealth can be used. Check out the new release

Telehealth regulations loosened
01/29/20 | New Drug Delivery Codes 20700-20705

Stop using 11981-11983 as of Jan 1st 2020- Use the new drug delivery codes 20700-20705 --

New Drug Delivery Codes 20700-20705
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

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Accessing Newsletters
01/02/19 | Calendar events

Calendar events

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Archive - See All Entries

* A Manual to Orthopedic Terminology 7th edition, by Fred RT Nelson ISBN: 978-0-323-04503-2 - http://www.us.elsevierhealth.com/product.jsp?isbn=9780323045032

E/M Bell Curve book:http://www.codingbooks.com/2019-em-bell-curve-auditing-sourcebook

* http://www.codingbooks.com/2019-cpt-coding-essentials-orthopedics-upper

* http://www.codingbooks.com/2019-cpt-coding-essentials-orthopedics-lower

* NASS 2018 Common Coding Spinal Scenarios - https://www.spine.org/ProductDetails?productid={28D576E9-A544-E811-8121-0050569159BF}

* Foot/ankle/toes - Podiatry - www.codingline.com

* Abbreviations - http://www.medabbrev.com/index.cfm?neilmdavis

* CMS fee look up - https://www.cms.gov/apps/physician-fee-schedule/overview.aspx

* Great site for cages and separate plates - http://www.medicalexpo.com/medical-manufacturer/lumbar-interbody-fusion-cage-28427-_2.html

Additional Resources:

  1. “AAOS Complete Global Service Data for Orthopaedic Surgery”, Ed. 2018.  Or CodeX 2018 - https://www.aaos.org/store/product/?productId=11000735&ssopc=1

  2. AAPC – at www.aapc.com or 1-800-626-2633

  3. CMS Program Memoshttp://www.cms.gov/Regulations-and-Guidance/Guidance/Manuals/index.html?redirect=/manuals/

  4. Gray’s Anatomy on line http://www.bartleby.com/107/

  5. OIG website https://oig.hhs.gov/

  6. CMS website http://www.cms.gov/

  7. OIG Fraud and Abuse department https://oig.hhs.gov/fraud/

  8. OIG semiannual report regarding coding errors and more https://oig.hhs.gov/reports-and-publications/oas/index.asp  

  9. Improper FY 2001 Medicare http://oig.hhs.gov/oas/reports/cms/a0102002.htm

  10. Improper FY 2000 Medicare http://oig.hhs.gov/oas/reports/afma/a0002000.htm

  11. Improper FY 1999 Medicare Fee-for Service Payments http://oig.hhs.gov/oas/reports/afma/a9901999.htm

  12. Medicare Learning Network  http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/index.html?redirect=/MLNMattersArticles/ 

  13. Medical Compliance Training http://www.medicalcompliancetraining.com/