Understanding NCCI Edits
Medicare creates and maintains the National Correct Coding Initiative (NCCI) edits and NCCI Policy Manual, which identify code pair edits. When performed on the same patient, on the same day, and by the same provider, the secondary code is considered an integral part of the primary code, and payment for …
Diagnosing, Documenting, and Coding for Radiculopathy
Radiculopathy can be an unpleasant condition, but diagnosing, documenting and coding for it does not have to be. It just takes a little research. The brain communicates with the body via the spinal cord which is protected by the bones of the spinal column, called vertebrae. Nerve roots exit in …
Q&A: Will Using Lower Level Codes Reduce Our Chances of Being Audited?
Q&A: If we use low level codes on each visit (such as 98940, 99212, 99202), will our chances of being audited be less than if we billed higher level codes?
Audit Fighting Tactics
Four Tactics or tips to help you fight back when you are audited or have your claims reviewed. They are effective and easy to use.
Best Defense Against an Audit? Do it Yourself
Audits are on the rise and the last you want to do is get tangled up in a fight over money you have already been paid. A smart chiropractor will audit himself to make sure there is little for the insurance companies to find when they strike.
