In Coding
Jun 9th, 2014
A provider must document in the patient’s medical record medical necessity for pathology and laboratory services, as well as indicate that he or she ordered the tests. The ordering physician must also note in the patient’s record how he or she used the findings to select a diagnosis and a treatment plan. The most commonly performed ...
In Billing
Jun 9th, 2014
Evaluation and management (E/M) services comprise a significant portion of most providers’ billable services. To ensure coding (and reimbursement) reaches optimal levels, providers must be careful to document services carefully. Here are five common problem areas to watch for. 1. Legibility When it comes to coding, two fundamental rules are “Not documented, not done,” and ...
In Billing
Jun 1st, 2012
Effective May 14, TrailBlazer Health Enterprises has instituted an edit for the following laboratory CPT® codes: 80074 Acute hepatitis panel 80076 Hepatic function panel These lab services have been identified by the Part A/B Medicare administrative contractor (MAC) as having a high error rate through Comprehensive Error Rate Testing (CERT). “These services are frequently denied due ...
Oct 1st, 2010
Find out how it began and what holds true for 2011. By Lynn S. Berry, PT, CPC Seemingly out of nowhere, providers have been barraged with material regarding Medicare signature requirements. Why is there a new emphasis on something that should be standard practice? History in the Making When the November 2009 Comprehensive Error Rate ...