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 ...

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 ...

Congress should enact legislation to require the Centers for Medicare and Medicaid Services to evaluate transitioning to a single modern procedure coding system to eliminate excess costs and lower ...

CPT code 97039 has been in a state of constant flux in Florida and recent rulings have created greater change. First, one must understand what 97039 is and its history. According to the American ...

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 ...

Notably, the treatment modality does not refer to the type of psychotherapy provided (i.e., individual, group, or family therapy). Q: What elements must be included in a provider’s documentation of ...

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 ...