Don’t Be The Nail Above The Board
The old adage of not being the nail above the board because someone with a hammer will come along is really starting to hold true for phlebology. Some bad audit scenarios are impacting phlebology practices from coast-to-coast. One practice just… Read More
Audits On The Increase
Two practices, with whom we consult, have recently had Medicare audits. Two very different results. The first practice was one with whom we had worked over the past two years doing chart audits and updates to their templates, documentation and… Read More
Endomechanical Ablation Coding Update
As the above article notes, using code 37241 is not appropriate. There is, however, some good news on two different fronts for those using the endomechanical device. The Society for Vascular Surgery (SVS) initiated and was joined by the… Read More
Two Us Codes; Two Distinct Uses
Normally a varicose vein patient’s care plan includes an US three days to one week after an ablative procedure was performed to determine if the treatment was successful and to look for any complications such as a DVT. This service… Read More
Billing For Gradient Comp. Wraps
The question has come up that if a patient presents with ulcers or lymphedema, can they be treated with compression wraps and have it be covered by their insurance? The answer is, like everything in healthcare: it depends. HCPCS codes… Read More
Reviewing Daily Billing Work
Practice managers and physician-owners have so many things of which to keep track. Trying to ensure your internal biller or external billing company is doing some of the right things is just another added burden. Below are a few quick… Read More
I87.2 – Not For Everything
This has to be one of the most utilized codes on phlebology claims. We see this code appended to all claims, from office visits, to diagnostic ultrasounds, and even appended to procedures. While this code is perfectly appropriate to report… Read More
Comparative Billing Report From Medicare
Comparative Billing Reports (CBR’s) – You may have received one of these recently or will be in the coming weeks. Several of the providers we work with have already done so. The letter may show that your practice has been… Read More
Why Didn’t I Get Paid?
An excellent question which is usually met with a variety of answers. Detailed below are some of the more common reasons a claim is not being paid and steps to correct (or avoid) them in the future. No Referral: For… Read More
Can I Bill For That?
I get this question quite often, and wanted to write an article to specifically address what you can and cannot bill for. Technically you can “bill” for anything that you do; this is not the true question. The real questions… Read More