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Pam Warren's latest activity
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Pam Warren replied to the thread Wiki Two surgeons performing a different surgery on one patient.Yes, they are. This is different from co-surgery which is a single code where different aspects of that same surgery are performed by two surgeons. It's different also from surgical assists, where one provider is the attending and one is an... -
Pam Warren replied to the thread Question Do you try to correct codes that are wrong?.There is a code for patients having both Type II and I.... (Type 1.5...look it up). I guess I am confused as to why if you are working as a coder you wouldn't be expected to code correctly. Is the provider giving you an ICD-10-CM code, or are...
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Pam Warren replied to the thread Wiki Bleph/ with Ptosis Repar.My thoughts? Well, it's unfortunate for the patient to unbundle the charges. If the patient's insurance won't pay both, and the provider is credentialed with that payer, you cannot balance bill the patient. Changing the diagnosis to a cosmetic...
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Pam Warren replied to the thread Wiki Billing G0463 together with 11042 during a wound clinic visit vs only billing 11042.If this is provider-based billing for federal payers, you would report the procedure on both the 1500 and the UB. G0463 is the E&M equivalent on the facility side. If you did just the procedure on the professional side, you bill just the...
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Pam Warren replied to the thread Wiki Anticipatory Guidance, guidance.Anticipatory guidance is going to be patient-specific. It refers to the patient/provider discussions related to any preventive or risk-reduction advice as relevant to the patient's current lifestyle. For example, I am a stained glass artist and...
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Pam Warren replied to the thread Wiki OCP Initiation Visit.What procedure code are you billing? Some payers will not pay for routine/preventive care unless you also bill a routine CPT code (so not an E&M code). Some payers expect there to be a documented condition/complaint in order to pay for an E&M...
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Pam Warren replied to the thread Wiki Is This Practicode Correct? OPD7245.you don't need a -25 on the E&M with an EKG read, per the Social Security Act (and CCI edits, too). RVUs were adjusted to compensate for this. This is an ED visit. Check your E&M codes. You do want to submit the correct answers, but it's...
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Pam Warren commented on Binitharamesh's profile post.That LCD was retired in March of 2024. When's your date of service? A draft article is in process. DA59664.
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Pam Warren replied to the thread Wiki Home Care MSW.Home health care is a payment model where all services are provided by the Home Health agency, and paid under a single consolidated payment that covers everything rendered to the patient. Generally, you cannot bill separately for services...
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Pam Warren replied to the thread Wiki ATTN CPC-A.My advice (as someone who has been in the field 30+ years and is a hiring manager) is that you should consider looking for other roles in the revenue cycle. It's very difficult to find a coding job without experience. Look at jobs in billing...
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Pam Warren replied to the thread Wiki Compliance Help.reach out to Stephanie Thebarge on the NAB.
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Pam Warren replied to the thread Wiki Current vs Malignancy.This is not an additional surgery for malignancy, since there is no current treatment, no prophylactic treatment, nor any indication of current cancer.
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Pam Warren replied to the thread Wiki Billing Question.It depends. Does the procedure have any global days? Is the dizziness/anemia a result/complication of the procedure? Is your provider the attending for the admission? The initial hospital /discharge codes are in the E&M section of CPT.
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Pam Warren replied to the thread Wiki What coding certification would you recommend..Why is your manager threatening your job? Before you invest time/money in another certification, try to find out if this is the manager's (unfortunate) tactic, or if the manager is worried about your job performance. If it's the latter, you may...
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Pam Warren replied to the thread Wiki HealthCon 2025.AAPC has contracts with certain large hotel groups and has to schedule conferences within those venues. I do expect to see some variety in the future years, though. Additionally, with the National HealthCon, several things come into play.... a...