March 24, 2023 | By Jennifer McNamara, CCS, CPC, CDEO, CPMA, CRC, COSC, CGSC, COPC, AAPC Approved Instructor | CEO, Healthcare Inspired, LLC One modifier that often raises eyebrows and questions is Modifier 62. This modifier can impact reimbursement and compliance, making it a focal point for audits by the Office of Inspector General…
August 18, 2023 | By Terry A. Fletcher BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, ACS-CA, SCP-CA, QMGC, QMCRC, QMPM | Terry Fletcher Consulting, Inc. | Healthcare Coding and Reimbursement Consultant, Educator and Auditor | Podcast Host, CodeCast®, NSCHBC Edge Podcast, #TerryTuesday TCG Podcast | NAMAS Educational Speaker and Writer As we all know the…
Do you often bill the code 99211? I must admit, this is a service code that isn’t used much anymore, but it can be an excellent code to bill for the overhead when using our office staff. Let’s start with the Par Agreement entered into with your chosen insurance providers. This agreement states that claims…
August 11, 2023 | By Terry A. Fletcher BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, ACS-CA, SCP-CA, QMGC, QMCRC, QMPM | Terry Fletcher Consulting, Inc. | Healthcare Coding and Reimbursement Consultant, Educator and Auditor | Podcast Host, CodeCast®, NSCHBC Edge Podcast, #TerryTuesday TCG Podcast | NAMAS Educational Speaker and Writer A question comes up often regarding…
August 4, 2023 | By Bryan Meek, Esq., Brennan, Manna, and Diamond OVERVIEW: As telehealth has become more prominent across the country, providers have had the opportunity to practice across state lines more easily. However, most states require that providers be licensed in their state to provide care to residents in their state. Thus,…
One of the amazing benefits of a NAMAS membership is “Ask The Expert”. For this “Take”, I’m going to share one of the questions submitted to us by a NAMAS member, Carol, about emergency room leveling related around chest pain and high complexity. So, Carol writes that the data column for most of their patients…