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March 16, 2023 Question: Can we bill comparison in-office x-ray views (usually knees or elbows) if the patient is asymptomatic…
March 2, 2023 Question: Our physician’s submitted literature to our administration team related to portable handheld ultrasound equipment for purchase…
February 16, 2023 Question: We are submitting a hospital claim form with the modifier 25 and FS modifier. We are…
February 2, 2023 Question: Our surgeon documented in the procedure title that he performed an arthroscopic ORIF of a tibial…
January 19, 2023 Question: I am putting together E&M Guideline educational information for my providers based on the 2023 changes…
December 15, 2022 Question: Our surgeon documented a repair of the patella tendon with repair of the medial retinaculum repair.…
December 1, 2022 Question: We have a patient with 2 commercial payers (BCBS and Cigna). A consultation code was submitted…
November 17, 2022 Question: Our physicians default to time for almost every office encounter. We are working with them on…
November 3, 2022 Question: What CPT code do we use when our physician performs an SI joint injection using ultrasound…
October 20, 2022 Question: When choosing the level of E&M we are confused about the History and Exam. If we…
October 6, 2022 Question: I am confused and hoping you can clarify a coding question I have. I thought I…
September 22, 2022 Question: After a recent audit and review with my physicians, they are telling me that they do…
September 8, 2022 Question: Our surgeon treated a patient who presented with an open fracture of the distal tibia and…
August 25, 2022 Question: I am new to an Orthopaedic practice where the coders do all the coding. The current…
August 11, 2022 Question: Our surgeon saw a new patient in the office yesterday. His documentation supported reporting the E&M…
July 28, 2022 Question: A patient sustained an ankle fracture and a shoulder fracture and surgery was performed on same…
July 14, 2022 Question: I am a contracted physician with a group practice (Practice A) in our town. I have…
June 30, 2022 Question: I heard someone say the 2022 CPT manual will be updated in July with new codes.…
June 16, 2022 Question: What type of graft or fixation material is required to report open extra-articular knee ligament reconstruction…
June 2, 2022 Question: We are looking at CPT code 0707T for reporting subchondroplasty in our practice. We have never…
May 19, 2022 Question: We are an academic orthopaedic practice with an orthopaedic GME-approved residency program in a large metropolitan…
May 5, 2022 Question: I know in years past from attending KZA/ AAOS workshops that the instructors taught that bone…
April 21, 2022 Question: I am new to orthopaedic hand coding. I have a case where the surgeon repaired two…
April 7, 2022 Question: Our sports medicine physician is planning to perform a Prolotherapy procedure on a patient who has…
March 24, 2022 Question: Our surgeon documented an interposition arthroplasty and removal of both the trapezoid and trapezium bones. I…
March 10, 2022 Question: Our surgeon placed a patient on the OR schedule as an inpatient case. The surgery was…
February 24, 2022 Question: Can we code a laminectomy for disc herniation, such as 63030 or 63042, with a TLIF/PLIF…
February 10, 2022 Question: Our surgeon will be performing an OATS procedure with allograft on the humeral head. Will you…
January 27, 2022 Question: Our surgeon performed a thoracolumbar spinal procedure two weeks ago. The patient developed a wound infection…
December 30, 2021 Question: Is it correct CPT coding to report the ultrasound guidance CPT code 76942 when the physician…
Articles
Five Coding Tips for Dealing with Third-party Billing Entities AAOSNow – February 2020 by Sarah Wiskerchen, MBA, CPC Whether due…
ORTHOWORLD – December 11, 2019 In 2017, the American Medical Association surveyed physicians across all specialties about the amount of…
Therapy Billing: Be Sure Your Team Is Doing Things Right AAOSNow – October 2019 by Sarah Wiskerchen, MBA, CPC Many…
Coding Errors Can Cost You Money and Potentially a Sale Healio Orthopedics – October 2019 by Karen Zupko As more…
How to Bill and Get Paid for Unlisted Procedures AAOSNow – September 2019 by Cheryl Toth Orthopaedic surgeons often perform…
Does Your Practice Treat Pain? AAOSNow – August 2019 by Cheryl Toth Interventional pain management is a growing specialty, and…
Practice Acquisition: How to be Easy to Do Business With Healio Orthopedics – August 2019 by Karen Zupko When was…
AAOS Now – July 2019 by Sarah Wiskerchen A previous article published in AAOS Now (“How to Avoid Common Mistakes…
Tips and Best Practices for Using Code-X AAOS Now – June 2019 by Cheryl Toth After speaking with Michael Marks,…
Coding Experts Weigh in on the Value of Code-X AAOS Now – May 2019 by Cheryl Toth If you are…
Articles Are Physicians Required to Return Overpayments? Michael R. Marks, MD, MBA Michael Sacopulos, JD AAOS Now – May 2018…
Articles Arthroscopy Coding for Major Joints – Shoulder Michael R. Marks, MD, MBA AAOS Now – March 2018 An accurate understanding…
Arthroscopy Coding for Major Joints – Knee AAOS Now – February 2018 By: Michael R. Marks, MD, MBA When the…
Articles What is in that alphabet soup? Deciphering Coding Acronyms to Support Reimbursement Sarah Wiskerchen, MBA, CPC Healio Orthopedics •…
Have You Heard the Latest Medical Liability Risk? AAOS Now – January 2018 By: Michael R. Marks, MD, MBA and Daniel R.…
Dispensing DME in Orthopaedics for Medicare – November 2017 AAOSNow by Sarah Wiskerchen, MBA, CPC Answers to key coding questions…
Medical Imaging and HIPAA Compliance AAOS Now – October 2017 By: Michael R. Marks, MD, MBA What orthopaedic surgeons need…
Six Steps for Conducting an Internal Evaluation & Management Audit Healio Orthopedics • Orthopedics Today – September 2017 by Sarah Wiskerchen,…
Work RVU compensation formulas and surgery modifiers: To discount RVUs or not Orthopedics Today – September 2017 by Sarah Wiskerchen,…
Telehealth at a Tipping Point – September 2017 By: Betty A. Hovey, CCS-P, CPC, CPMA, CPCD, and Cheryl Toth, MBA…
Top 10 HIPAA Mistakes for Practices to Avoid – September 2017 By: Michael R. Marks, MD, MBA, and Michael Sacopulos,…
Documentation Guidelines for Medical Decision Making – August 2017 by Margaret M. Maley, BSN, MS With a brief history of…
Healio Orthopedics Today – August 2017 by Karen Zupko A governance agreement is a written directive for how a practice’s…
Medicare Sharpens Focus on the Global Surgical Package – June 2017 by Margaret M. Maley, BSN, MS The Centers for…
AAOSNow – April 2017 by Karen Zupko Frequently Asked Questions – Pain Management In Orthopaedic Practices Increasingly, pain management specialists—physical medicine…
2017 Medicare Guidelines for Imaging – March 2017 by Margaret M. Maley, BSN, MS Effective Jan. 1, 2017, “FX” is a…
AAOS Now – January 2017 by Michael R. Marks, MD, MBA Every autumn, the American Medical Association’s (AMA) Current Procedural…
AAOS Now – December 2016 by Michael R. Marks, MD, MBA If a constant stream of denials for hip arthroscopy…
AAOS Now – November 2016 by Kim Pollock, RN, MBA, CPC Spine surgeons face a multitude of Current Procedural Terminology…
Don’t Be Intimidated by ICD-10-CM Changes – October 2016 by Margaret M. Maley, BSN, MS A systematic look at the code…
