Understanding Continuous Positive Airway Pressure (CPAP) and Continuous Negative Airway Pressure (CNP)

Posted Posted in Insights, Respiratory Therapy

Learning the fundamentals of CPAP and CNP are important for CPT® coding purposes. By gaining a better comprehension of these services, healthcare coding and billing professionals can help ensure accurate coding while safeguarding full reimbursement. Let’s take a look at some of the details that define these services when it comes to respiratory therapy coding […]

Appropriate Use Criteria (AUC) Program Implementation – What’s Happening in 2021?

Posted Posted in Insights, Radiology

The release of the Medicare Physician Fee Schedule (MPFS) CY2021 proposed rule on August 3rd contained a lot of information for radiology providers to digest (a proposed 10.61% reduction to the conversion factor for 2021!), but there was also a noticeable absence in the proposed rule – any discussion of the Appropriate Use Criteria (AUC)/Clinical […]

Pelvic Angiography – When is it Appropriate to Assign 75736?

Posted Posted in Insights, Interventional Radiology

Pelvic angiography – it’s a term we see in reports and there’s a CPT® code specifically describing it, so why is this code so frequently mis-used? The answer to that involves understand what the definition of true pelvic angiography entails and the key terms to look for in documentation to support it. Selective (True) Pelvic […]

Molecular Testing – Why Is Reimbursement Lacking?

Posted Posted in Laboratory

Molecular diagnostic assays are one of the fastest growing segments for clinical diagnostics. Advancements in testing capabilities allows for rapid determination by simultaneously assessing multiple genes, which for some patients will have life changing effects, by identification of low prevalence inherited and environmentally induced diseases, syndromes and conditions. The advancements in testing capabilities are exciting […]

Biliary IR Coding – 5 Common Mistakes

Posted Posted in Insights, Interventional Radiology

With most bundled code sets, it’s the small details that make all the difference. Biliary procedures are much the same. The code descriptions look similar but contain subtle variations that require a good understanding of the full, long description of each code. However, code descriptions don’t always provide all the information needed for correct application […]

COVID-19 Codes: The Ones You Need to Know

Posted Posted in Insights, Laboratory, Uncategorized

CMS released multiple reporting codes for COVID-19 for laboratory services. We created this guide to help you understand the latest information and implications for the COVID-19 codes currently available. Fill out the form to download the article.  COVID-19 Laboratory Codes Name* First Last Email* Enter Email Confirm Email Phone* Job Title* Facility* State* AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of […]