Category Archives: Coding & Billing

Admin Codes for Third Dose of COVID-19 Vaccines

Once the FDA authorized a third dose of the COVID-19 vaccine, the American Medical Association released new administration codes.  These codes cover the actual work of administering the vaccine, in addition to the counseling provided to patients or caregivers and, … Read Full Post

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ICD-10-CM Changes for 2022

Changes to ICD-10-CM codes happen every year and 2022 (which coding-wise begins on October 1, 2021) is no different.  AAPC reports that 159 codes were added, 25 were deleted, and 27 ICD-10-CM codes were revised. This addendum from CMS explores … Read Full Post

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Hidden MRA Treasure – Part 2

In Part 1 of this series, we reviewed ICD-10-CM code I77.1 and explained that there are some often overlooked conditions that increase your risk adjusted payments.  This time, we’ll focus on ICD-10-CM code J84.10, Pulmonary fibrosis, unspecified.  This code was … Read Full Post

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Hidden MRA Treasure – Part 1

In the early days of the CMS-HCC model, providers were not versed at all on the inner workings of the risk adjusted payment paradigm or the conditions included.  And admittedly, much has changed in these 18 years.  Most providers know … Read Full Post

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Billing No-Nos: Selective Billing Activities

Much in the same way no one instrument is the most important in an orchestral piece, so no one aspect of the billing process is the most important.  The stops along the billing route all contribute to the steady flow … Read Full Post

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MRA Issues from the Trenches

We have blogged quite extensively on all things MRA and especially the need for solid documentation. Historically, a provider’s charting improves when the spotlight is shined on it, but old habits are hard to break; we find that, sadly, documentation … Read Full Post

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Billing No-Nos: Ignoring Your A/R – Part 2

Welcome to Part 2 of Billing No-Nos:  Ignoring Your A/R.  In Part 1, we discussed the need for every practice owner and manager to know their accounts receivable, and we hope you’ve taken steps to review those reports.  The next … Read Full Post

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Billing No-Nos: Ignoring Your A/R – Part 1

Quick… off the top of your head, what’s the approximate dollar value of your practice’s accounts receivable (A/R)?  Many providers (and administrators!) will say they don’t know.  Our question to you is: why not?  In Part 1 of this two-part … Read Full Post

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The “Welcome to Medicare” Visit

When your patients reach the age of 65, they have a decision to make: sign up for Medicare Part B, enroll in an HMO, PPO, EPO or pick another type of insurance.  At age 65, patients may be  automatically enrolled … Read Full Post

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