Madison Hynes of MGMA explained what practice leaders should watch as electronic prior authorization and Medicaid work requirements arrive Jan. 1.
|Articles|February 1, 2008
After-Hours Visits
I’d like some information on billing for after-hours visits. Our physician came in on a Sunday and saw three people, and we aren’t sure what codes we can bill and what the likelihood of getting paid anything additional would be.
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Question: I’d like some information on billing for after-hours visits. Our physician came in on a Sunday and saw three people, and we aren’t sure what codes we can bill and what the likelihood of getting paid anything additional would be.
Answer: See code 99050 in your CPT manual, which you could report in addition to an E&M.
Whether you’d get more payment is a payer-dependent issue.
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Medicaid work requirements, new remote monitoring rules and an electronic prior authorization deadline all land Jan. 1, and that's only part of what MGMA told practice leaders to watch.
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