Barbara’s News – Page 4 – CRN Healthcare Solutions

Getting Inspire Therapy for Sleep Apnea Covered

July 17, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

Obstructive sleep apnea causes those who suffer from it to sleep poorly and always feel tired. Obstructive sleep apnea is also indicative for heart Inspire® therapy is a promising alternative to traditional treatment options for sleep apnea, but getting it covered under insurance is not a given. For more, read here: AAPC Blog

Billing 95165 Is Nothing to Sneeze At

July 11, 2019July 16, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

The professional service of preparation and provision of antigens for allergen immunotherapy — reported using CPT® 95165 Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple … For more, read here: AAPC Blog

Differentiate Separate Procedures with Modifiers 59 and X[ESPU]

July 8, 2019July 16, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

When you have distinct, separate procedures, know which modifiers will get the claim paid in full. Modifier 59 Distinct procedural service acts as a “universal unbundling” modifier for procedures that are normally included as part of another procedur… For more, read here: AAPC Blog

Cyber Threats to Physician Practices Are Growing

June 24, 2019July 16, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

Here’s how to fight back. Most of us are concerned about being personally attacked by cybercriminals, and we must have that same increased awareness within our medical practices. Cybercriminals consider medical practices ripe for the picking. Security For more, read here: AAPC Blog

AMA on Evaluation and Management Guidelines

June 18, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

Medical coders who were unsure what documentation non-Medicare payers would expect in light of the Patients Over Paperwork Initiative now have more to go on. The initiative reduced documentation requirements for outpatient evaluation and management (… For more, read here: AAPC Blog

Assistant at Surgery Modifiers Require Specific Documentation

June 17, 2019June 18, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

Over my almost 30-year surgical coding career, the documentation for assistant surgeons consisted of only the name of the assistant surgeon in the operative note header. Most often there was no mention of the role of the assistant surgeon in the body … For more, read here: AAPC Blog

DOJ Re-evaluates Compliance Programs

June 11, 2019June 18, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

The Department of Justice (DOJ) Criminal Division issued, April 30, a 19-page document entitled Evaluation of Corporate Compliance Programs. This document applies broadly to all industries where compliance is integral to operations and is not targeted… For more, read here: AAPC Blog

You’ll Need This to Get Balloon Dilation of the Eustachian Tube Paid

June 7, 2019June 18, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

Clinical Consensus Statement: Balloon Dilation of the Eustachian Tube (BDET), published by the American Academy of Otolaryngology ̶ Head and Neck Surgery, June 4, is important because BDET is newer technology and may be rejected for payment by third… For more, read here: AAPC Blog

Auditing Postoperative Sinus Debridements

May 23, 2019June 18, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

An auditor asked the question of postoperative sinus debridements while discussing functional endoscopic sinus surgery (FESS). It was asked if postoperative debridements are coded and chargeable when a septoplasty or a turbinate procedure is performed… For more, read here: AAPC Blog

E/M Documentation for Teaching Docs Changes July 1, 2019

May 21, 2019June 18, 2019Barbara Cobuzzi, MBA, CPC, CPC-H, CPC-P, CPC-I, CENTC, CPCONo Comments

There is a change in Medicare policy forthcoming regarding evaluation and management (E/M) services documentation requirements for teaching physicians. It is important to train teaching physicians, residents, and nurses who document E/M services of a… For more, read here: AAPC Blog