Medical Billing and Coding Resources
Medical Billing and Coding Resources
97113 CPT Code Description: Therapeutic procedure, one or more areas, each 15 minutes; aquatic therapy with therapeutic exercises. This procedure uses the therapeutic properties of water (e.g., buoyancy, resistance). Hydrotherapy is useful in post-operative extremity (joint) rehabilitation (e.g., total hip or knee arthroplasty, total shoulder, elbow, and wrist arthroplasty). Most Payers will consider aquatic therapy […]
97112 CPT Code Description 97112 CPT Code: Therapeutic procedure, 1 or more areas, each 15 minutes; neuromuscular re-education of movement, balance, coordination, kinesthetic sense, posture, and/or proprioception for sitting and/or standing activities. Examples include Proprioceptive Neuromuscular Facilitation (PNF), Feldenkreis, Bobath, BAP’S Boards, and desensitization techniques. Neuromuscular re-education may be considered medically necessary if at least […]
Basics of 97110 CPT Code CPT code 97110 is a therapeutic procedure, on one or more areas, each lasting 15 minutes. Therapeutic exercises are performed in either an active, active-assisted or passive (e.g., treadmill, isokinetic exercise, lumbar stabilization, stretching, strengthening) approach. The exercises may be reasonable and medically necessary for a loss or restriction of […]
Fixing claim rejections is not difficult once you know the reasons behind it. Note that since each payer/clearinghouse words the rejection message differently, there may be multiple messages listed for one entry. Payer ID Missing or Invalid This rejection is stating that the payer ID that was used on the claim is not valid for […]
Millions of claims were denied because eligibility had expired or the patient or service was not covered by the plan. Maintaining a consistent and accurate verification process is essential to maintaining a healthy revenue cycle. Physicians need to verify each patient’s eligibility and benefits to ensure they will receive payment for services rendered. Insurance should […]
CO18 Denial Code: Duplicate Claim/Service Duplicate denials continue to be one of the top billing errors. It can be both counter-productive and costly for your practice, not to mention, they can end up getting you into trouble. Too many errors can result in the imposition of program integrity actions by the Medicare administrative contractor against […]
Claim Denial Denial of a claim is the refusal of an insurance company or carrier to honor a request by an individual, or his or her provider, to pay for health care services obtained from a health care professional. Many practices do not make the effort to appeal denied claims. As per AMA, the most […]
Split Surgical Care There are occasions when more than one physician may furnish aspects of the services included in the global surgical package. When different physicians of a group practice participate in the care of the surgical patient, the group practice bills for the entire global surgical package. The physician who performs the surgery is […]
Split Surgical Care There are occasions when more than one physician may furnish aspects of the services included in the global surgical package. When different physicians of a group practice participate in the care of the surgical patient, the group practice bills for the entire global surgical package. The physician who performs the surgery is […]
Split Surgical Care There are occasions when more than one physician may furnish aspects of the services included in the global surgical package. When different physicians of a group practice participate in the care of the surgical patient, the group practice bills for the entire global surgical package. The physician who performs the surgery is […]
