Coding Consultant

Avoiding Post-Surgical Modifier Confusion

How to use three modifiers for surgery that falls within the global period of another procedure.

Reporting Self-Identified Overpayments

What the 60-day rule for Medicare overpayments really means.

Handling Overfill for Single-Use Drugs

What CMS expects for documentation and reporting of leftover anti-VEGF drugs.

Get Ready For ICD-10 Changes

The one-year reprieve ends October 1. Here’s what you can expect and how to prepare.

Diagnostic Test Challenges

An obvious order and a thorough “interpretation and report” are essential for passing muster in a chart audit.

Coding and Reimbursement Updates

Changes in 2016 amount to a sharp reduction in physician reimbursements.


What VBPM Can Mean to Your Practice

A deep dive into how CMS defines and uses Value Based Payment Modifier. Part 2 of 2.

Making Sense of PQRS and VBPM

Knowing Medicare’s key measures can help you avoid penalties. Part 1 of 2.

Genetic Tests: A Coverage Challenge

AAO advises restraint with genetic testing; payers go slow.

OCT and FP: Why can’t I bill both?

New guidance from CMS describes why and the few times when you can.