Decoding CPT Codes: A Guide to Medical Billing and Coding

This video will teach you about CPT codes (Current Procedural Terminology) and their crucial role in medical billing and coding. Discover the acronym behind CPT and why it's essential to stay updated on the annual updates provided by the AMA (American Medical Association). Explore how CPT codes impact the financial aspects of a medical practice, including reimbursement rates and budgeting. Gain insights into the relationship between CPT codes and ICD-10 codes and the complexities and nuances involved in accurate billing. Whether you're new to the field or seeking to expand your knowledge, this video sets a solid foundation for understanding the world of CPT codes in healthcare.
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Hi! I’m Jennifer. After working in the medical field in many different capacities over the last 15 years, I have learned much about where medical practice owners go wrong in running their businesses. I created this channel to try and assist medical practice owners from making the same mistakes as their colleagues. I want to see the private practice world of medicine grow and thrive. I believe healthcare has become too institutionalized, creating many unnecessary obstacles and demands.
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[@MyCodingDiary]

Your explanations are so concise and easy to follow😀. Thank you for making this video!

[@navigatingthebusinessofmed8251]

Glad it was helpful! Sometimes I feel I ramble on so I appreciate this feedback. Thank you for watching!

[@drewmathis3186]

Thank you!

[@navigatingthebusinessofmed8251]

You are so welcome! I appreciate your support!

[@dawnaltomaro1272]

I need help with allergy coding. Aetna denied 95024 with 99213-25. They paid the lower (OV) & stated 95024 has a lower RVU relative value unit. Would appreciate any input

[@navigatingthebusinessofmed8251]

Thank you for watching and the question! In my experience allergy testing with an office visit is not covered with Aetna unless the testing visit requires treatment due to a patient having a bad reaction where the testing stopped completely and intervention and treatment had to take its place. In that case you document the reason for this and the exact time the testing stopped and treatment began, what was given/done and how long that part of the visit lasted. We did not allow patients to do testing on the same day as a consult or other visit due to this fact and they had to return at least the next day for the testing. Aetna was the most stringent of the payers in our practice. We also did benefit checks on how many allergens were covered for testing because all payers are different and we wanted to inform patients of what their plan covered and if they wanted additional, then they signed an agreement to pay out of pocket for the extra. This had to be done before services were rendered. I hope this helps!