The Medical Coding Septicemia, SIRS and Sepsis- Video

Coding for Septicemia Sirs Sepsis

Q: Compare Septicemia, SIRS and Sepsis. What are the differences? A: Well, this gets very confusing. That little [star] up there, this will work for a specialty CEU, I believe. The American College of Chest Physicians and the Society of Critical Care Medicine have established 4 different levels of sepsis. The levels and symptoms are [...]

What do you do in Medical Billing and Coding | Scenario from EM Coding – Video

em coding

Q: I pulled this scenario from E/M university and would like to know why only one bullet was credited for the cardiovascular system. A: This is a scenario that someone got from the E/M university – and I believe that’s an online coding site – and would like to know why only one bullet was [...]

ICD 10 CM Medical Coding Practice Test Tip – Video

icd 10 cm tips

Test Taking Tip for ICD-10 – Of course, I’m a diagnosis coder by trade so I really like ICD-10 and I could talk all day on this, so I kind of pushed this back to one of the latter slides so I didn’t get carried away. Q: Test Taking Tip for ICD-10: What is the [...]

Medical Coding Information | What is HIPAA? – Video

what is hipaa

Alicia: The first slide that we’ve got is the CPT exam prep: What is HIPAA? HIPAA does go across the board and touches everybody in the medical field, whether you’re a clinician, whether you’re a coder, whether you’re a patient, whether you’re a secretary in the medical office, it really touches everybody. What is HIPAA? [...]

Medical Billing Software in Medical Billing Training

medical billing training

As a medical billing instructor, I am frequently asked if a good medical billing course should contain training in medical billing software.  This is a bit of “tricky” question to answer because the answer is both “yes” and “no.”  Most medical bililng training programs take about 8 to 12 weeks to complete.  The medical billing software [...]

Medical Billing and Coding Education | Patient Education on Diabetes

patient education on diabetes

Patient Education on Diabetes – This was a really interesting question. I thought it was a lot of fun when I read this because I could see the coder rolling her eyes thinking, “What are you thinking?” Q: We have a client with type-1 diabetes and I get 3 encounter forms a day for when [...]

Medical Insurance and Billing | Medigap Insurance for Medical Billers

Medical Insurance and Billing

As an instructor teaching medical insurance and billing students, I am frequently asked what is Medigap insurance. This is actually a very good question for students to ask.  Medigap is also known as Medicare Supplementary Insurance.  It is offered by commercial carriers to Medicare recipients. It is designed to cover the copayments, deductibles, coinsurance, and [...]

Medical Coding | Difference of PA to a Physician | Chronic Gouty Acute Flare Code

Chronic Gouty Acute Flare Code

Q #19: What documentation is needed from the PA and physician in a split/shared visit? A: Really interesting here. It depends, first of all, I think with insurance companies, too. Medicare is really picky about PAs but they can do just about anything the physician is doing. The physician signs off on it. However, there [...]

Medicare’s New Ruling for Modifier 59 – Medical Billing Modifiers

medical billing modifiers

Change is coming on January 1st 2015 and the focus will be procedure modifier 59 – the modifier that is used to define Distinct Procedural Services. It is one of the most commonly used, as well as misused and abused modifiers. Because of the misuse, CMS plans to eliminate the confusion and created specific modifiers [...]

Medical Coding – HCPCS and CPT codes | Disc Herniation vs Disc Degeneration – Video

medical coding

Q #16: Will there be at anytime HCPCS and CPT codes together? A: Well, yes. I guess so. The only time you really use HCPCS codes is if you are doing Medicare. They’re the other ones that really like the HCPCS codes. CPT codes, well, yes they will because E/M codes are CPT codes. So, [...]