Did you know that approximately 1 in 5 individuals aged between 65 and 74 have cataracts that affect their vision in the US? That’s not all, over 50% of people older than 80 years either have cataracts or have had surgery to remove them. Ophthalmologists work hard to ensure the eye health of these individuals […]
Are you treating a patient who cannot perform conventional land-based therapy? In situations where patients experience joint stress while exercising, therapists opt for aquatic therapy for rehabilitation. But, does Medicare consider it a medical service and reimburse it? Yes, Medicare does reimburse aquatic therapy, given that supporting documents were attached to prove the procedure’s medical
Are you a pain management provider struggling with a higher denial rate on your neurolysis claims? Do not worry! This guide is all about decoding CPT code 64640. From clinical scenarios to applicable modifiers and reimbursement guidelines, we will discuss everything. The outcome? Once you are done reading this guide, you will be able to
Gastroenterology treatments are not only hard to perform, but they are also very challenging to bill. How many times have you finished a long week of complex procedures only to find that your reimbursements don’t reflect the difficult work you actually performed? That’s a common scenario in almost all gastroenterology practices. One such procedure that
Many patients, especially the elderly, sometimes require prolonged treatments, which, if provided at hospitals, only burden the health systems. Therefore, medical attention is delivered to them right in their homes. This is where home health services help both patients and healthcare providers. Often, these services are provided by skilled registered nurses (RNs). CPT code 99602
Imagine you just finished a grueling week in the clinic. You successfully diagnosed your last patient’s cervical pain, performed a precise facet joint injection, and finally provided him the relief he has been seeking for months. You documented the procedure, submitted the claim, and started your new week. However, days later, your claim is denied.
Speech and language disorders are quite prevalent in children. According to research, almost eight to nine percent of children have speech disorders. This places a great deal of responsibility on speech and language pathologists. Unfortunately, billing for such specialized services is a challenging process, but filing accurate claims and avoiding denials can be made much
Electrical Stimulation Therapyplays a significant role in physical therapy. The use of electrical stimulation devices is rapidly expanding in many hospitals. According to a 2023 market research, hospitals were the leading users of electrical stimulation devices, capturing 58% of the market share. These devices are primarily used for pain management, neurological care, and rehabilitation. But
Physical therapy (PT) billing is rarely straightforward. Just when you think you have a handle on the Medicare 8-minute rule or Correct Coding Initiatives (CCI) edits, a new requirement is introduced to complicate your revenue cycle management. That’s what happened when the Centers for Medicare and Medicaid Services (CMS) created the CQ modifier. The time-based
Chronic pain management treatments are among the most performed procedures. However, they are also one of the most difficult to bill. One specific area where many billers face difficulty is the proper coding of multi-level facet joint injections in the lumbar spine. This often involves the use of CPT code 64494. That’s why we have
