Coding Tips

Is 76815 "incidental" to 76821?

Recently, a question was posed on the appropriate way to report coding combination 76821 and 76815. Some insurance companies are denying 76815 “incidental” to 76821. Does using a modifier prevent this coding combination from being denied?According to Medicare National Correct Coding... Continue Reading

When a co-payment should be collected regardless of who and where the service was provided?

In the ever changing world of health care and overall rising costs, co-payments are no longer ONLY applied for certain specialties and are NOT always driven by Place of Service or E&M Visits. The industry has increased cost shifting from insurance plan to patient creating a more self-pay... Continue Reading