Billing

Can you please explain the appeals process for Medicare?

Effective January 1, 2024, there will be changes to the definitions/descriptions of the CPT codes for Correction of Hallux Valgus deformities.

The JZ modifier will show Medicare if providers are using pharmaceuticals efficiently by identifying the amount of unused and discarded drugs from single-dose containers or single-use packages. One way to remember the correct use of these drugs is waste vs zero-waste.

Can you please explain what a “RAC” audit is?

Can a hallux valgus correction CPT code be billed if the medial aspect of the head of the 1st metatarsal is not removed?

Can you please explain what a TPE Audit is?

A patient had a first metatarsophalangeal joint fusion/arthrodesis performed. Approximately 1 month following the procedure, one of the screws that was used to perform the procedure backed out of the bone and the plate that was applied to the 1st MPJ and started to apply pressure beneath the underlying skin at the site of the surgical incision. The screw needed to be removed. What would be the most appropriate CPT code to bill?

What are the Signature Requirements for Medical Records?

What are the appropriate modifiers to use for the billing of CTPs?

What are the rules that should be followed when someone is billing for an E and M service based upon Total Time?