Check Your FESS Claims for Improper Payment Adjustments

MACs may be applying the multiple endoscopy rule incorrectly. In the 2020 Medicare Physician Fee Schedule (MPFS) Final Rule, the Centers for Medicare & Medicaid Services (CMS) finalized the proposal to apply the special rule for multiple endosco… For more, read here: AAPC Blog Related Posts:Prevent Medicare Claims Denials in 2020CMS Proposes Payment Changes to Endoscopic Sinus Codes

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Multiple Endoscopy Rule Examples

In my last blog “Special Rules Apply to Endoscopic Sinus Surgeries,” I discussed the change to the Multiple Endoscopy Rule for multiple surgeries when performed within the family of endoscopic sinus codes. How Does the Multiple Endoscopy Rule Affect … For more, read here: AAPC Blog Related Posts:2021 Physician Fee Schedule Final Rule – Prolonged Services

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CMS Proposes Payment Changes to Endoscopic Sinus Codes

The Centers for Medicare & Medicaid Services (CMS) is proposing major payment changes to sinus endoscopy services. The 2020 Physician Fee Schedule (PFS) proposed rule includes the following excerpt: We are proposing to apply the special rule for m… For more, read here: AAPC Blog Related Posts:Special Rules Apply to Endoscopic Sinus SurgeriesCheck Your FESS Claims for Improper Payment Adjustments

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Billing 95165 Is Nothing to Sneeze At

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 Related Posts:Michigan Surgeon Accused of $60M Billing FraudIncident-to Billing May Be EliminatedHow Many Units of 95165 Can You Bill, Really?2 Tips for Billing a Physician Assistant as Assistant…

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Auditing Postoperative Sinus Debridements

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 Related Posts:CMS Proposes Payment Changes to Endoscopic Sinus CodesSpecial Rules Apply to Endoscopic Sinus Surgeries

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Audiology Technician Billing

Medicare stipulates precise requirements for billing audiology technicians’ services. As outlined in the Centers for Medicare & Medicaid Services’ (CMS) Transmittal 84 in February 2008, these requirements are distinct from those governing audiolog… For more, read here: AAPC Blog Related Posts:Michigan Surgeon Accused of $60M Billing FraudBilling 95165 Is Nothing to Sneeze At2 Tips for Billing a Physician Assistant as Assistant…Incident-to Billing May Be Eliminated

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Coding 3 or 4 Sinuses Using FESS Codes

A lot of people have been asking questions about how to code FESS surgeries with the new combination codes when three or four sinuses are operated on. Sinus and FESS We have been expecting an AMA CPT® Assistant article with guidance this year, but no … For more, read here: AAPC Blog Related Posts:OIG to Audit Risk Adjustment CodingCMS Proposes Payment Changes to Endoscopic Sinus CodesCheck Your FESS Claims for Improper Payment AdjustmentsMedicare Telehealth Coding as of April 30

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