In CMS
Jan 11th, 2016
Advance care planning (ACP) is a face-to-face service between a physician (or other qualified health care professional) and the patient and/or his family or surrogate, to discuss advance directives, with or without completing relevant legal forms. The Centers for Medicare and Medicaid Services (CMS) defines an advance directive as, “a document appointing an agent and/or ...
Anesthesia for colorectal cancer screening is a separately billable service, if you follow guidelines. By Joette Derricks, MPA, CMPE, CPC, CHC, CSSGB CPT® 2015 includes several coding and billing changes in the Anesthesia section, of which anesthesiologists should be aware. One significant change — which is great news for your Medicare patients — is the ...
Sort through the guidance to master use of modifiers PT and 33. By Anna Conlon Barnes, CPC, CEMC, CGSCS When it comes to colonoscopy coding, I keep Medicare rules clear of any commercial payer rules. In our coding department, any patient undergoing a colonoscopy for screening or surveillance with no current symptoms gets either modifier ...
When it comes to meeting “first dollar coverage” requirements using CPT®, the two are at odds. By Kenneth D. Beckman, MD, MBA, CPC, CPC-P, CPC-H, CPE The Affordable Care Act (ACA), or Obamacare, includes a list of services that payers are required to cover without a deductible or co-pay—what is commonly referred to as “first ...
Like many modifier, modifier 33 is one that stumps many coders. AAPC director of Publishing, Brad Ericson, MPC, CPC, COSC recently wrote on the subject for the California Medical Association’s Coding Corner column. “Modifier 33 is reported to commercial payors only, and it is appended to all appropriate codes not already designated preventive services,” he ...