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April 23, 2021 / By Rebecca Caux-Harry
I was reading an article the other day about a young man who developed severe biventricular heart failure after consuming a large quantity of an energy drink every day for […]
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Feb. 12, 2021 / By Rebecca Caux-Harry
I recently received some questions from an Inside Angle reader about my blog post on ICD-10 coding for aortic valve disease. The reader asked about transcatheter aortic valve replacement (TAVR) […]
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Nov. 6, 2020 / By Rebecca Caux-Harry
In this next blog post in our blog series focused on the new E/M guidelines, I’m going to focus on Medical Decision Making (MDM), which along with Time, is a […]
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Aug. 7, 2020 / By Rebecca Caux-Harry
At the time I’m writing this blog, 2020 is a little more than half over. It has been a tough year so far, for so many reasons. I won’t get […]
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April 8, 2020 / By Rebecca Caux-Harry
We’re all living through uncertain times, and like most coding professionals, I’m focused on learning as much as I can about the new guidelines for COVID-19 documentation and coding. It […]
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Nov. 15, 2019 / By Rebecca Caux-Harry
Last month, I wrote about accurate coding for aortic valve disease. This month, we’ll look at coding for mitral valve disease. The mitral valve is located in the left side […]
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Oct. 9, 2019 / By Rebecca Caux-Harry
There are four valves in the heart that separate either the heart chambers from each other, or separate blood flow from heart blood flow. They are, in the left heart, […]
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Aug. 12, 2019 / By Rebecca Caux-Harry
July was a weird month for me. I ended up taking vacation in July which I haven’t done since I was a student, oh so many years ago. I’m not […]
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July 1, 2019 / By Rebecca Caux-Harry
In the morning, while getting ready for work, I listen to the radio. It’s the same program I’ve listened to for over 20 years. Normally, I “tune out” when commercials […]
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May 24, 2019 / By Rebecca Caux-Harry
In March, the American Medical Association (AMA) published their CPT Editorial Summary of Panel Action February 2019. The summary warns that final CPT codes and descriptors are still in draft […]
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April 29, 2019 / By Rebecca Caux-Harry
While reading AAPC’s Healthcare Business Monthly, April 2019, I came across an article about problem lists by Mary Wood and Michael Warner. The authors include an example of a poorly […]
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March 29, 2019 / By Rebecca Caux-Harry
For several years now we’ve had four -X modifiers, generally presented as -X (E, P, S, U) which can be used instead of the -59 modifier to unbundle procedure codes […]
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Jan. 16, 2019 / By Rebecca Caux-Harry
Since the Final Rule for 2019 averted the threat of reduced payment for professional services concerning the -25 modifier, I thought revisiting this troublesome modifier would be a good idea. […]
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Nov. 2, 2018 / By Rebecca Caux-Harry
One of the many benefits of working for a nation-wide company is visibility into payer actions from coast to coast. Our many customers send us comments about payer actions and […]
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Sept. 26, 2018 / By Rebecca Caux-Harry
Today, while reading an article about some upcoming new ICD-10 codes, my mind drifted to the part of the world population at risk for exploitation. In response to increasing violence […]
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Aug. 20, 2018 / By Rebecca Caux-Harry
By now, you’ve undoubtedly seen the CMS proposal to overhaul the E/M documentation and coding guidelines for new and established office visits, along with consolidated payments. There are articles and […]
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June 27, 2018 / By Rebecca Caux-Harry
Any Harry Potter fans out there? I recall a wedding scene in one of the last movies, when a disembodied voice whispers “They are coming, they are coming.” The wedding […]
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May 2, 2018 / By Rebecca Caux-Harry
At AAPC’s annual Healthcon conference in Orlando, Florida, Dr. David Zielske (also known as Dr. Z) had a session on Interventional Radiology, Cardiology and Vascular Surgery coding. As you can […]
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Feb. 19, 2018 / By Rebecca Caux-Harry
Let’s say there’s this not-so-young-anymore woman who was frustrated by a long bout of a winter cold/flu. Upon recovery, she is asked by some friends if she wants to go […]
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Jan. 8, 2018 / By Rebecca Caux-Harry
You code your own doctor visits or procedures in your head during your visit, CPT and ICD. When talking to friends about medical issues, you review the possible ICD codes […]
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Nov. 29, 2017 / By Rebecca Caux-Harry
Last month, I wrote about my experience with The Texas Medical Center and the loss of my mother. One reader questioned whether the healthcare system is working (as I maintained […]
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Oct. 25, 2017 / By Rebecca Caux-Harry
For those of you who are my regular readers, first, thank you so much! Second, you know I can get personal at times. This is going to be one of […]
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July 28, 2017 / By Rebecca Caux-Harry
Recently, I received a question from a reader concerned about a provider coding counseling/coordination of care for the majority of the higher level new patient visits as well as the […]
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May 8, 2017 / By Rebecca Caux-Harry
The CPT changes for 2017 brought a surprise, at least for me. You may have noticed a trend over the last several years of consolidation within the codeset. When two […]
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March 31, 2017 / By Rebecca Caux-Harry
In the past, I’ve written several blogs about the complexity of E/M coding and how to find your way through. The first step is to establish the place of service, […]
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Feb. 10, 2017 / By Rebecca Caux-Harry
I paraphrase, but this is essentially the question we hear from providers when we talk about ICD-10 coding accuracy.
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Nov. 4, 2016 / By Rebecca Caux-Harry
This month, Inside Angle blogger Rebecca Caux-Harry discusses E/M coding guidelines with Andee Andriole, 3M senior manager of outpatient consulting services. Rebecca: Hi Andee, it was great seeing you at […]
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Sept. 28, 2016 / By Rebecca Caux-Harry
This month, Inside Angle blogger Rebecca Caux-Harry discusses E/M coding guidelines with Andee Andriole, 3M senior manager of outpatient consulting services. Andee: Hey Rebecca, I was just reading some of […]
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Aug. 1, 2016 / By Rebecca Caux-Harry
Echocardiography is the study of the chambers, valves and major structures of the heart. The CPT books give us specific direction about what to look for within the report to […]
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Feb. 5, 2016 / By Rebecca Caux-Harry
Picking up where we left off last month, here’s part two of my blog on CPT additions, deletions and modifications for 2016 (for part one, click here). Let’s start in […]
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Sept. 23, 2015 / By Rebecca Caux-Harry
I’ve written in the past about how to score the language within an E&M note. There are a number of ways to arrive at the same code, or in fact, […]
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Aug. 26, 2015 / By Rebecca Caux-Harry
I went to see one of my physicians today. She at her computer, me in a chair, discussing the multiple medications I’m taking, and the resulting side effects. If you’re […]
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July 1, 2015 / By Rebecca Caux-Harry
In past blogs, I’ve written about a variety of E&M services and how to code those visits. In case that seemed straightforward, many years ago mid-level providers were added into […]