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Bill Dacey

Bill Dacey

Bill Dacey, CPC, MBA, MHA, is principal in the Dacey Group, a consulting firm dedicated to coding, billing, documentation, and compliance concerns. Dacey is a AAPC-certified instructor and has been active in physician training for more than 20 years.

Facing a coding conundrum? We're here to help. Send your questions to coding expert Bill Dacey at billdacey@msn.com. He will help clear up the confusion, and you may even see your question featured in the journal.

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This month's coding questions tackle whether physicians in the same group practice in the same specialty have to bill as a single doctor.


In the world of coding, here's why an attending physician is not really allowed to attest to an NP consult. Also, what are comparative billing reports?


Can you code when a patient is so distraught an appropriate history cannot be obtained, nor can a mental status exam be performed?

How to institute vaccine administration codes for patients who are older than 19 years of age. Also, guidance on follow-up codes in electronic billing.

Our coding expert discusses what to do when Medicare denies a consult code; preparation for Medicare chart audits; and coding for unusual services.

Answers from our coding expert on questions regarding advance care planning; pessary cleaning; and identifying inclusive codes.

Answers from our coding expert on questions regarding incident-to billing; time-based coding; and specificity in ICD-10.

Answers from our coding expert on questions regarding medical necessity; using the ROS for history of presenting illness; and duplicative coding.

Answers from our coding expert on questions regarding bronchoscopy; modifier 58 vs. modifier 79; and fourth-year residents.

Our coding expert discusses copying the referring physician on consults; coding follow-up visits; and selecting medical complexity for high-toxicity meds.


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