Medicare Visit Reviews
Can Medicare require documentation that includes the full physician's note for 99204s and 99205s?
New CPT Modifier
Is there a new modifier for CPT in 2011?
Medicare Miscommunication
My providers seem really confused about using consult codes for Medicare patients in the hospital. Is the use of admission codes confined to the day the patient is admitted?
'Seeing' a Patient
Can this OB/GYN code a 99211 for fetal stress testing?
Modifier 59 Clarification
It seems the traditional understanding of modifier 59 has changed. Here's information for your medical practice.
Face-To-Face Visits for Infertility Blood Work; Medicare's Annual Wellness Visit
Coding questions? We've got the answers
E&M Mixing and Matching; EKG Inquiry; and New Medicare 'G' Codes
Level 5, Part II; More on Modifier 33; and Double Dipping Redux
Making definitive decisions; delving into 'double dipping;' and ICD-10 code assignments
Coding questions? We've got the answers.
CERT Reviews; New CPT Modifier; Medicare Visit Reviews
Here's some medical coding guidance on CERT reviews; a new CPT modifier; Medicare visit reviews; and more.
Billing for Infusion Services
This physician wants to know if he can bill for infusion services in an outpatient setting.
Pre-op Conferences
How to code for dental pre-op exams?
Primary Care Exception
This doc wants to know how to bill inpatient services using the primary-care exception rule.
Selecting High vs. Moderate Risk
Clinicians should make sure they clearly document the patient's level of risk when comorbid conditions are present.
Reducing Duplicate Documentation
This physician wonders how to get around documenting the "I saw and examined" clause in every patient record.
Prescription Drug Management
Does prescribing a new medication qualify as a moderate level decision making?
Problem Visits With Counseling
Can this doc bill for both health maintenance and a problem-based visit on the same day, if counseling is involved?
Physician Presence Matters in Outpatient Setting
Can this physician bill for monitoring OB patients in the outpatient setting if he is physically not present?
Medical Consult - Dead or Alive?
Can you still use the consult code for Medicare and private payers?
Smoking Cessation Help in 2011
New Medicare coverage for smoking cessation counseling
Getting Paid for Pulse Ox
This physicians wonders why he doesn't get paid for performing a pulse ox.
E&M Guideline Updates
The 1995 and 1997 CMS guidelines for E&M services are still topical.
ICD-10 '411'
How many new codes will there be in the ICD-10 CM and PCS code sets?
Mixing Exam Types?
Can this provider choose elements from both a multisystem and single organ system exam?
Patients' Paperwork
Even though there is a CPT code for completing patient forms, many payers do not reimburse physicians for that service.
This physician is billing for blood draws in the hospital outpatient setting.
NPP Versus Physician Visit
Billing for a patient seen on the same day, in the same group, by two different providers.
Locum Tenens In, Provider Out
How should this physician bill for a locum tenens provider?
Hospitalist Admit Billing
This physicians wants to know who should bill for a hospital admission: the surgeon or hospitalist?
Coding: Preventive services; ICD-10 readiness; new ABN form
Medical coding guidance on prevention planning; the ICD-10 transition; ABN advice; and more.