MEDICAL CODING

MD Facts is about Healthcare Updates, Medical Billing and Coding Tips & Tricks, Clinical Documentation, EHR, Physician's progress notes, Medical Records and Charting, Medical Coding, Insurance Plans Information, Handling of Insurance Denials, and Insurance Updates.

The implementation of the Families First Coronavirus Response Act waives cost-sharing (coinsurance and deductibles) for COVID-19 testing-related services.  The Act is a bit convoluted (as most Acts are) so the Centers for Medicare & Medicaid Services (CMS) breaks down what it all means for Medicare Part B claims in a...
Aid comes in the form of volunteers, assessment deadlines, and more. Hospices’ new ability to use face-to-face physician encounters performed via telehealth for recertifications is a major step. But Medicare is offering relief in other areas as well. “The Centers for Medicare & Medicaid Services is taking historic and unprecedented...
IV Infusion
Infusion can be defined as “Administration of fluids or medications into the blood through the veins”. When the drug delivery exceeds 15 minutes, it falls into infusion. Each hour of infusion is deemed a separately billable unit. Infusions can be categorized as below: • Initial • Sequential • Additional • Concurrent • Prolonged
Chemotherapy administration
Billing of chemotherapy: There are three most common modalities of cancer treatment such as Chemotherapy (antineoplastics), Radiation (Radiotherapy) and Surgery. We will discuss billing of Chemotherapy (Antineoplastics) AMA’s Current Procedural Terminology (CPT) provides three categories of chemotherapy administration and non-chemotherapy injections and infusions like; 1. Hydration 2. Therapeutic(healing)/Prophylactic (preventative) and diagnostic Injections...
“Good things take time, as they should. We shouldn’t expect good things to happen overnight. Actually getting something too easily or too soon can cheapen the outcome.” — John Wooden The above quote can be applied to almost every endeavor, but as it applies to the back office functions of...
Nerve Conduction Studies and Electromyography Coding Tips
As per AMA, the CPT book Definition of a conduction study is "defined as a sensory conduction test, a motor conduction test with or without an F wave test, or an H-reflex test. Each type of study, sensory or motor with or without F wave, H-reflex associated with that nerve...
duplex scan for extremities
HOW TO SELECT CODE AND BILL FOR DUPLEX SCAN OF EXTREMITY VEINS: To determine a level of diagnostic CPT for veins for reporting it is necessary to know that how many vessels were imaged if the service is unilateral or bilateral, and where both the deep and superficial systems dealt...
Bilateral procedures are identified by the presence of the “50” modifier or of the same code on separate lines reported once with the modifier “LT” and once with a modifier “RT”. For these codes the standard rules for adjustment is to pay 150% of the fee schedule amount but...