Healthicity Blog

Have you ever wanted to know what a physician means when they document using certain words, phrases, orders, and clinical plans?

For fun, let’s take a short quiz. Would you say that the following scenarios would be coded as a new or established patient?

The Vermont hospital, Brattleboro Memorial, recently paid $1.6 million to the U.S. and State of Vermont to resolve allegations of false claims.

There’s nothing more frustrating to a coder than spending a good part of their work day correcting common provider coding errors.

1. Former Orange County lab Owner Sentenced to 8 Years for Healthcare Fraud –

Preventive services and screenings are important, especially for our little ones.

For those of you unfamiliar with coding and billing, modifier -59 is a two-digit numeric code modifier that can be appended to a CPT or HCPCS procedure code, for example, and will frequently bypass many payor edits.

1. CMS and Its Claims Processing Contractors Issued Conflicting Guidance on the Proper Use of the KX Modifier for Part B Immunosuppressive Drug Claims - “Medicare Part B paid for some immunosuppressive drugs billed with the KX modifier that were not eligible for Part B payment.