Often in medical coding and billing , mistakes happens but if they are not addressed immediately or if they are overlooked, it could turn into a costly affair for the provider causing potential loss in revenue. In this series of coding and billing errors, we will try to highlight some of such common errors and their financial impact on the practice. CASE 1: A physician performed an arthrocentesis on the acromioclavicular joint bilaterally on a 74 year old female. The biller billed the CPT … [Read more...]
Workers’ Comp & PIP Claims : Common Mistakes Which Can be Avoided
When you are billing a Workers' Comp/PIP Claim, your success cautiondepends in part on whether your office captures all the pertinent information up front. When the patient first walks in and fills out the paperwork related to WC/PIP claim, often times it is incomplete, and/or illegible. Result - Confusion and delay in claims processing. By following these simple tips, you can avoid unnecessary delays in claims processing. 1. Obtaining accurate and complete information is not only vital in … [Read more...]
How to Correctly Code and Bill Remicade Injection?
Question: A patient with Rheumatoid Arthritis presents for a Remicade Injection(Infliximab) and receives two pushes, one of Benadryl and one of Solumedral. A recommended dose of Inliximab 200 mg was administered for 3 hrs by means of an intravenous infusion. How would you report these services ? Answer: The correct way to report these services would be: Dx Code: 714.0 (Rheumatoid Arthritis) Pre Medication: 96375 X 2 (Total of 2 pushes); J1200 X 1 unit (Benadryl); J2930 X 1 unit … [Read more...]
How To Code Trigger Point Injections?
Trigger point injections are injections of a tendon sheath, ligament, trigger point(s) or ganglion cyst which consists of an anesthetic agent and/or therapeutic agent injected into the area to relax the intense muscles. In case of TPI's, one must really indicate more specifically the etiology of the pain. Since Medical Necessity is the main criteria for TPI's, it is always advisable to keep your documention in a certain way: Documentation of any evaluation/process of arriving at the … [Read more...]