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Search: Posts Made By: dsmith06351
Forum: Behavioral Health 09-19-2011, 09:19 AM
Replies: 1
Views: 1,083
Posted By dsmith06351
coding for E/R visits

We use LCSWs in the E/R for crisis intervention. After being cleared by the E/R doctor the patient is seen by our LCSW for evaluation (mostly suicidal ideation). In most cases the patient is kept...
Forum: Behavioral Health 08-15-2011, 10:04 AM
Replies: 0
Views: 1,098
Posted By dsmith06351
LCSWs performing crisis intervention in ER

How would we bill for a LCSW who sees a patient in observation. Here is the scenario,

The patient presents to the ER and the LCSW does the crisis intervention we bill a 90801. The patient is going...
Forum: Behavioral Health 07-25-2011, 08:38 AM
Replies: 89
Views: 25,259
Posted By dsmith06351
Please send me a copy also Thank You ...

Please send me a copy also

Thank You

Denise

dlsmith@lmhosp.org
Forum: Cardiology 06-01-2011, 10:04 AM
Replies: 1
Views: 708
Posted By dsmith06351
MDM question

I am new to auditing cardiology visits and I am looking for some clarification on the table of risk.

1. What types of tests are included in the cardiovasular imaging studies with contrast with...
Forum: E/M 05-31-2011, 02:20 PM
Replies: 1
Views: 889
Posted By dsmith06351
table of risk questions

I am new to auditing cardiology visits and I am looking for some clarification on the table of risk.

1. What types of tests are included in the cardiovasular imaging studies with contrast with...
Forum: General Discussion 05-18-2011, 07:59 AM
Replies: 2
Views: 937
Posted By dsmith06351
Thank You, Denise Smith CPC, CEMC

Thank You,

Denise Smith CPC, CEMC
Forum: General Discussion 05-13-2011, 08:12 AM
Replies: 2
Views: 937
Posted By dsmith06351
Documentation Help

I am auditing a surgeons dictated Consultation note. At this visit it was decided to perform surgery the format that this doctor uses is designed to not have to redo the consultation at the time of...
Forum: General Discussion 05-12-2011, 01:35 PM
Replies: 390
Views: 64,337
Posted By dsmith06351
Could you please add me as well....

Could you please add me as well. dlsmith@lmhosp.org
Forum: Behavioral Health 04-21-2011, 10:12 AM
Replies: 2
Views: 1,637
Posted By dsmith06351
discharge from inpatient psych to medical floor

Can I bill a discharge from an inpatient psychiatic floor on one day and then bill a subsequent hospital visit the next day, if the patient is discharged from the psychiatric unit and transferred to...
Forum: Pediatrics 03-03-2011, 09:39 AM
Replies: 2
Views: 1,446
Posted By dsmith06351
ear piercing

Does anyone do earpiercing in your office and if so do you have the parents sign a waiver? We are looking into this service and I was wondering how other offices handle it.

Thanks for any input.
...
Forum: E/M 02-23-2011, 10:37 AM
Replies: 1
Views: 779
Posted By dsmith06351
help with MDM

How would you determine medical decision making on this encounter? I am doing some audits for our physcians and would love a second opinion and your rationale.

It was a detaild history and...
Forum: Urology 02-17-2011, 11:31 AM
Replies: 6
Views: 12,774
Posted By dsmith06351
What CPT code

We perfom this same procedure code 54450 states that this if for uncircumsized can we use this also on a circumsized child? And is this documented somewhere so I can show it to our doctors?

Thank...
Forum: General Discussion 02-17-2011, 11:19 AM
Replies: 0
Views: 774
Posted By dsmith06351
documentation for nurses

I would like to do an inservice for our nursing staff on how to properly document the services that they are performing. Does anyone know where I can go to get guidelines on this?

Thanks for any...
Forum: Pediatrics 02-16-2011, 02:16 PM
Replies: 3
Views: 1,621
Posted By dsmith06351
Sorry, I don't think that I explained the...

Sorry, I don't think that I explained the scenario correctly. What I was wondering is what admin codes would I bill when the patient returned. The 90460/90461 because we counselled at the time of the...
Forum: Pediatrics 02-15-2011, 02:41 PM
Replies: 3
Views: 1,621
Posted By dsmith06351
vaccine counselling

If the doctor counsels about vaccines at a physical and the parents decide to not have the vaccines done, then they schedule a nurse visit to have the vaccines done a week later can I bill the...
Forum: Pediatrics 02-08-2011, 07:52 AM
Replies: 3
Views: 1,316
Posted By dsmith06351
Could you please explain what you mean by the...

Could you please explain what you mean by the timing difference? This has been a thorn at our office lately. And where can I reference this information to show our doctors?

Thanks for any help
...
Forum: Pediatrics 01-31-2011, 09:12 AM
Replies: 2
Views: 1,769
Posted By dsmith06351
concussions

We treat and evaluate kids with concussions in our office. Our doctors use the SCAT form to help evaluate the patients. Can we use 99420 to bill for these forms?

Denise Smith CPC, CEMC
Forum: Billing/Reimbursement 01-25-2011, 02:33 PM
Replies: 3
Views: 2,327
Posted By dsmith06351
E/M with 96372

Would I need to use a modifier on an E/M service when billing the 96372 injection code? Here is the scenario, A child comes in and the doctor dx otitis media the doctor then decides to give the...
Forum: E/M 01-03-2011, 12:47 PM
Replies: 0
Views: 884
Posted By dsmith06351
preoperative and preprocdural clearances

Our doctors perform preoperative and preprocedural clearances for dental work and MRI's. This is done when the child needs to be sedated mainly because they are uncooperative. How would we bill this?...
Forum: Pediatrics 12-29-2010, 09:14 AM
Replies: 1
Views: 1,177
Posted By dsmith06351
preoperative exams

When billing for preoperative exams, we are using the surgery code with the modifier 56. How would I bill when we do a preoperative exam for dental work?

Thanks for any help.

Denise Smith CPC,...
Forum: Pediatrics 09-23-2010, 08:16 AM
Replies: 0
Views: 1,285
Posted By dsmith06351
preoperative visits

I am curious as how other offices are billing for preoperative visits. I was reading that we should be billing the surgical code with modifier 56. Does anyone have experience with this? Do you have...
Forum: General Discussion 06-25-2010, 08:54 AM
Replies: 0
Views: 1,370
Posted By dsmith06351
documentation guidelines for 94664

I am auditing charts and wondering what needs to be written in the chart to support billing code 94664? Any help would be greatly appreciated.

Thanks

Denise Smith CPC, CEMC
Forum: Modifiers 06-04-2010, 07:41 AM
Replies: 7
Views: 2,385
Posted By dsmith06351
Aetna changed there policy for the VEP 95930....

Aetna changed there policy for the VEP 95930. They now consider it experimental, there is only four instances that this would be considered medically necessary. We had to stop doing the VEPs for...
Forum: Pediatrics 06-02-2010, 12:48 PM
Replies: 1
Views: 1,346
Posted By dsmith06351
bulb syringes

Is anyone billing for bulb syringes? I do have a HCPCS code but I was curious as to what other practices are doing.

Denise Smith CPC-A, CEMC
Forum: General Discussion 05-25-2010, 03:16 PM
Replies: 4
Views: 1,349
Posted By dsmith06351
where can I turn for help

I have told our doctors that we cannot bill the initial hospital visit on the day that we admit the patient from the office, if we did not go to the hospital. At a recent seminar the instructor said...
Showing results 1 to 25 of 83

 


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