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Recent Articles

What You Need to Know: Here’s the Latest Proposed ICD-10 Code Updates

We are pleased to introduce Jodi Stewart, Director, Professional Services/Clinical Coding Integrity at VitalWare. Jodi has over 27 years of experience in healthcare, including experience in Inpatient and Outpatient Coding, as well as Auditing and Coding Education. She is RHIA, CCS, CDIP certified and an AHIMA-Approved ICD-10-CM/PCS Trainer. The latest ICD-10 Coordination and Maintenance (C&M)...

VitalWare achieves company milestone with more than 550 hospitals on board and 200 CDM implementations completed with Epic hospital partners.

FOR IMMEDIATE RELEASE: VitalWare achieves company milestone with more than 550 hospitals on board and 200 CDM implementations completed with Epic hospital clients. Yakima, Washington – February 21, 2017 – VitalWare, a leading provider of revenue cycle SaaS solutions, announced today the achievement of a company milestone with more than 550 hospitals on board and...

3 Important Things to Know Before Attending HIMSS17

We are pleased to introduce Kerry Stark, Vice President of Business Development at VitalWare. Kerry brings more than seventeen years of Revenue Cycle experience creating, defining and building strategic partnerships with healthcare corporations. At VitalWare he oversees partnership growth and strategy nationwide. What tech areas are critical to evaluate in 2017? Last year, prior to...

Understand the National Correct Coding Initiative: Complimentary Webinar

We are pleased to introduce Jennifer Bishop, Director of Data Integrity at VitalWare. Jennifer has over 20 years of experience with chargemaster maintenance, provider education and revenue cycle management, including experience in an acute-care hospital setting and performing both DRG and APC audits for hospitals nationwide. Many of us are aware CMS created the National...

Modifier 77 vs. Modifier XP

Question: Would you have any insight into what would be the differences and why a coder would use the modifier 77 versus the modifier XP? They seem to be the same for me. I think of the XP modifier as being established for CCI instances, but if there are separate providers on a professional claim...

Moderate Sedation and Independent-trained Observer

Question: In the AMA CPT 2017 Professional edition, on page 676-677, they outline an independent-trained observer (qualified to monitor the patient during the procedure, who has no other duties during the procedure). Then on page 677 under the intraservice work, they note intraservice time is used to determine the appropriate CPT to use during the procedure. Then...

Percutaneous Transluminal Angioplasty

Question: If PTA of the venous and arterial anastomosis are performed, do we code for both a venous PTA (35476) and an arterial PTA (35475), or just one? Answer: It’s important to note that coding for these procedures will change effective January 1, 2017.  So, if you’re looking at claims prior to January 1, 2017, the April...

Mirror Therapy

Question: Please advise the appropriate CPT code to use for mirror therapy performed by PT/OT. Answer: There is no CPT code for mirror therapy and, generally, payers consider this type of therapy to be experimental and it isn’t covered. While you could consider CPT code 97799 (Unlisted physical medicine/rehabilitation service or procedure), we would recommend you...

Transvaginal Ultrasound

Question: Is there a way to code for a transvaginal ultrasound for a second fetus Answer: There are several codes that may apply to this scenario as noted below: 76813 (Ultrasound, pregnant uterus, real time with image documentation, first trimester fetal nuchal translucency measurement, transabdominal or transvaginal approach; single or first gestation) 76814 (Ultrasound, pregnant uterus, real...