Knowledge Center
Removal of a foreign object from the external auditory canal without general anesthesia is coded 69200 Removal foreign body from external auditory canal; without general anesthesia. This code is unilateral; therefore, if the patient sticks a Cocoa Puf...
By Maryann Palmeter
May 22nd, 2017
Comments Off on Changes to Reciprocal Billing and Locum Tenens Arrangements
As a result of the “21st Century Cures Act” (P.L. 114-255), reciprocal billing arrangements and locum tenens arrangements will apply not only to physicians, but to physical therapists (specialty code 65) who work in certain health profess...
Without a thorough understanding of the guidelines, calculating time may land you in hot water. When time is the controlling factor in a patient’s visit, be sure to capture the appropriate time-based service code. Per CPT®, unless there are code or co...
By Maryann Palmeter
Jan 31st, 2017
Comments Off on New Add-on Code for E/M Visits with Mobility-assisted Technology
Effective January 1, 2017, the Centers for Medicare & Medicaid Services (CMS) proposed that add-on code G0501 could be billed with new and established patient office/outpatient E/M codes (99201-99205 and 99212-99215), as well as transitional care ...
By Maryann Palmeter
Jan 1st, 2017
Comments Off on Common Billing Compliance Pitfalls
Part 2: Takeaways to help you avoid over-documentation and comply with LCDs and NCDs. Compliance officers face several major issues in today’s healthcare arena. Besides HIPAA, Stark Law, and Anti-Kickback concerns, certain billing compliance issues co...
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