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Coding
Telehealth Billing
“We have had an influx of phone calls that are burdening our clinical hours. We have been flooded with questions that pertain to patient care, clarification of orders and home care instructions. Is there a way to bill for these calls? Each call can take 20-45 minutes for our medical assistants to complete. And we are trying to manage a full clinic at the same time.”
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Coding
Billing For Intraoperative Fluoroscopy
Can I bill for using intraoperative fluoroscopy (C-arm) to assist in hardware placement before, during and after the procedure? The images are all taken while in the operating room. If so, do I need a modifier for the code? Can I use the same CPT for the surgery with the code for the intraoperative x-ray or does it require a different CPT code? Thank you!
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MIPS
Crunch Time for MIPS
The year is 75% complete so now is CRUNCH time for many providers participating in the MIPS program for 2024. Many of the measures you report on are ‘Once Per Reporting Period’. That means you only need to meet the measure on one visit for each patient during 2024. Even if you failed to meet measures prior to today, by making sure you meet the quality measure the next time the patient walks in the door, you get credit for that measure.
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FDA Recalls
HIPAA
The Increased Risk of Ransomware
Ransomware attacks targeting industrial organizations has reached new heights and no organization is immune.
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Coding
Hallux Interphalangeal Joint
“The NCCI edits talk about having calluses on toes 2-5 that are proximal to the distal interphalangeal joint (DIPJ). However, what about the hallux? We have diabetic patients with class findings that meet the criteria to debride hallux toenails. Occasionally, these patients also have a callus at the medial interphalangeal joint (IPJ). Payment is being denied on appeal due to the rule about not being a separate toe or proximal to the DIPJ. However, the hallux does not have two joints – just the IPJ. Is the IPJ thus considered the most distal joint? And debriding calluses either plantar to the IPJ or medial to the IPJ is included in the code?”
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