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Medicare’s Consult Rule Trickle Down Effect

And what it means for pediatric practices. A report from AMA in Chicago. Although CPT clarifies the transfer of care definition, the fix came too late for Medicare, meaning your private payers may...

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Use This Podiatry Scenario to Perfect Your Emerging Technology Claims

Hint: If you try to use an unlisted code, be sure your OP notes include this information. If you don’t know the ins-and-outs of coding cutting edge procedures, you risk getting left in the dust as...

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Surgery Coding: Narrow Your Options for Birmingham Hip Procedure

Include this term in Box 19 to indicate the type of implant. Question: One of our surgeons says we should use a total hip code for Birmingham resurfacing even if he doesn’t complete a total hip...

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Horizon BCBS Modifier Cut May Threaten Your Income

Upcoming policy change will slash your payments by half. Big changes are on the horizon if you participate with insurance provider Horizon Blue Cross Blue Shield (BCBS) of New Jersey. In a recent memo,...

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