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Coding

Medicare Requirements for Home Health Care

by Michael Warshaw, DPM, CPC

Medicare Requirements for Home Health Care
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Coding

Top Compliance Issues Q&A

by Michael Warshaw, DPM, CPC

Top Compliance Issues Webinar Q&A with Michael Warshaw, DPM, CPC
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Coding

Can you please explain the Medicare Appeals process?

by Michael Warshaw, DPM, CPC

Can you please explain the Medicare Appeals process?
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Coding

Orthotics Codes with Medicare

by Michael Warshaw, DPM, CPC

Orthotics are supposed to be statutorily not covered by Medicare unless they are attached to a brace. I was told to just append the KX modifier to the codes that are being billed for orthotics and I will get paid. Is this true and is it right to do this? Can I get in trouble?
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Coding

"Homebound" for Housecalls?

by Michael Warshaw, DPM, CPC

Does a patient have to be “Homebound” in order to provide foot care services in the patient’s home?
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Coding

Appropriate E/M Code to Bill Based Upon Time

by Michael Warshaw, DPM, CPC

Help! Can you please explain what is needed to determine the most appropriate E/M code to bill in the office based upon time?
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Coding

Appealing Medicare Decisions

by Michael Warshaw, DPM, CPC

APPEALING MEDICARE DECSIONS Once an initial claim determination is made participating physicians generally have the right to appeal. Physicians who do not take assignment have limited appeal rights. Beneficiaries my assign their appeal rights to Physicians who provide them with services or items.
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Coding

Mycotic Nail Debridement in the Otherwise Healthy Individual

by Michael Warshaw, DPM, CPC

UNLESS THE FUNGUS INFECTION IN A NAIL REQUIRES DEBRIDEMENT BECAUSE IT CAUSED THE NAIL TO BE ABNORMALLY THICK WHICH RESULTED IN EITHER PAIN OR A SECONDARY INFECTION OR A MARKED LIMITATION OF WALKING, THE TREATMENT SERVICE IS CONSIDERED SIMPLY A NAIL TRIMMING AND IS NOT PAYABLE BY MEDICARE.
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Coding

Treatment of Diabetics with LOPS

by Michael Warshaw, DPM, CPC

Peripheral Neuropathy is the most common factor leading to amputation in people with diabetes. In diabetes, peripheral neuropathy is an anatomically diffuse process primarily affecting sensory and autonomic fibers.
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Coding

Symptomatic Pathologic Nails

by Michael Warshaw, DPM, CPC

Routine Foot Care, which includes trimming or debridement of the asymptomatic, dystrophic, mycotic, or normal toenails are covered by Medicare only when the patient has one of the Medicare-specified systemic diseases with clinically significant peripheral complications placing the patient “At Risk” for infection and/or injury if a non-professional attempts to trim or debride the nail.
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