In CMS
Jan 2nd, 2015
When coding surgical procedures, do not attempt to report separately the insertion of urinary catheters. The “National Correct Coding Initiative Policy Manual for Medicare Services” specifies, “The Medicare global surgery package includes insertion of urinary catheters. CPT codes 51701-51703 (insertion of bladder catheters) should not be reported with a procedure with a global period of ...
In Coding
Jan 2nd, 2015
Low-frequency ultrasound (LFU) (e.g., MIST® Therapy), is a type of therapeutic, noncontact ultrasound used to treat chronic wounds. Per CPT Assistant (June 2014), such wounds may include: Recalcitrant wounds Pressure ulcers Diabetic foot ulcers Arterial ulcers Venous insufficiency ulcers Post surgical wounds Sickle cell ulcers Colonized wounds Burns LFU is used when there may not ...
In Billing
Jan 2nd, 2015
You should present Medicare patients with an Advanced Beneficiary Notice (ABN) only if the provider believes that Medicare may deny an otherwise covered item or service. If the patient is not given this advanced notice, providers may not shift financial liability for such items or services to beneficiaries should a claim for such items or ...
In Billing
Dec 8th, 2014
Remember that cardiopulmonary monitoring services (e.g., 94770 Carbon dioxide, expired gas determination by infrared analyzer) are regularly bundled as inclusive components of procedures reported by the performing provider (e.g., surgeon or anesthesiologist). In such cases, you would not report the cardiopulmonary monitoring independently. Chapter 1 of the National Correct Coding Initiative Policy ...
In Billing
Dec 8th, 2014
Duplicate claim submitted — Claims are often denied as duplicates for the following reasons: The claim was previously processed (i.e., no payment made, allowed amount applied to deductible on the initial claim). The provider re-files the claim to “correct” it. The second claim submitted is considered a duplicate because the initial claim was processed correctly. ...