In 2010, CPT guidelines told coders they should report an incomplete colonoscopy with modifier -52, which is a reduced services modifier, according to Mr. Cadorette. In 2011, those guidelines have ...

The first of November we welcomed the publication of the CY 2020 Medicare Physician Fee Schedule (PFS) Final Rule, which clarified coding rules around cognitive function intervention. The same week we ...

The Current Procedural Terminology code for SCODI was originally developed as a glaucoma diagnostic test. Retina diagnosis usage and codes were added to the coverage, and finally, in 2011, anterior ...

Betsy Nicoletti, MS, a nationally recognized coding expert, will take your coding questions via email and provide guidance on how to code properly to maximize reimbursement. Have a question about ...

Payer policies, surgical technology ,CPT code guidelines, and medical necessity requirements can change at a dizzying rate, presenting a significant challenge to ASC administrators hoping to maintain ...

Please provide your email address to receive an email when new articles are posted on . In hospital employment settings, as well as large groups, work relative value unit-based compensation agreements ...

If you're like most of our physician practice clients, you likely participate in the networks of at least a dozen managed care companies. This means that you not only have to manage different fee ...

Congress should enact legislation to require the Centers for Medicare and Medicaid Services to evaluate transitioning to a ...