Forum: Behavioral Health
09-19-2011, 09:19 AM
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Replies: 1
Views: 816
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...
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Forum: Behavioral Health
08-15-2011, 10:04 AM
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Replies: 0
Views: 854
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...
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Forum: Behavioral Health
07-25-2011, 08:38 AM
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Replies: 75
Views: 17,013
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Forum: Cardiology
06-01-2011, 10:04 AM
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Replies: 1
Views: 487
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...
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Forum: E/M
05-31-2011, 02:20 PM
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Replies: 1
Views: 640
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...
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Forum: General Discussion
05-18-2011, 07:59 AM
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Replies: 2
Views: 694
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Forum: General Discussion
05-13-2011, 08:12 AM
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Replies: 2
Views: 694
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...
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Forum: General Discussion
05-12-2011, 01:35 PM
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Replies: 364
Views: 45,868
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Forum: Behavioral Health
04-21-2011, 10:12 AM
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Replies: 2
Views: 1,145
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...
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Forum: Pediatrics
03-03-2011, 09:39 AM
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Replies: 2
Views: 1,060
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.
...
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Forum: E/M
02-23-2011, 10:37 AM
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Replies: 1
Views: 589
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...
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Forum: Urology
02-17-2011, 11:31 AM
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Replies: 6
Views: 7,522
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...
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Forum: General Discussion
02-17-2011, 11:19 AM
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Replies: 0
Views: 565
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...
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Forum: Pediatrics
02-16-2011, 02:16 PM
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Replies: 3
Views: 1,155
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...
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Forum: Pediatrics
02-15-2011, 02:41 PM
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Replies: 3
Views: 1,155
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...
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Forum: Pediatrics
02-08-2011, 07:52 AM
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Replies: 3
Views: 990
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
...
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Forum: Pediatrics
01-31-2011, 09:12 AM
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Replies: 2
Views: 1,389
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
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Forum: Billing/Reimbursement
01-25-2011, 02:33 PM
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Replies: 3
Views: 1,752
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...
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Forum: E/M
01-03-2011, 12:47 PM
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Replies: 0
Views: 578
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?...
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Forum: Pediatrics
12-29-2010, 09:14 AM
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Replies: 1
Views: 908
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,...
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Forum: Pediatrics
09-23-2010, 08:16 AM
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Replies: 0
Views: 1,038
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...
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Forum: General Discussion
06-25-2010, 08:54 AM
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Replies: 0
Views: 1,098
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
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Forum: Modifiers
06-04-2010, 07:41 AM
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Replies: 7
Views: 1,722
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...
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Forum: Pediatrics
06-02-2010, 12:48 PM
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Replies: 1
Views: 1,048
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
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Forum: General Discussion
05-25-2010, 03:16 PM
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Replies: 4
Views: 1,100
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...
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