In Coding
Jul 17th, 2018
Place of Service 22 and 23 Have the Same Payment Affect Question:A cardiologist is called to the emergency department (ED) to consult with a patient. The consult results in a decision for surgery. The surgery is performed on an outpatient basis: the patient is in the hospital less than 24 hours and is never formally ...
Ensure your home visits are medically necessary and meet payer billing requirements. By Beth Schleeper, COC, CPC, CPB, CPCO, CPMA, CPPM, CPC-I, CEMC, AAPC Fellow As a patient, having a physician come to your home to treat you while you are ill is a blessing. As a coder, reporting such a visit can be tricky. ...
In Coding
Jul 26th, 2016
If telehealth is the wave of the future, we’re still in the Dark Ages. The public has an ongoing opportunity to submit requests to the Centers for Medicare & Medicaid Services (CMS) for adding or removing services from the list of Medicare-covered telehealth services. This year, however, CMS is proposing not to add the majority of ...
In CMS
Jun 27th, 2016
Question: Is it appropriate to report an office-based E/M (e.g., 99204 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity…) for a non-emergency visit by a specialist that takes place in the ...
Underestimating the importance of a place of service (POS) code can be a costly mistake. Medicare administrative contractors (MACs) require considerable information before they’ll pay a claim for services rendered to a Medicare patient. Generally speaking, the claim must include the patient’s and physician’s identification (who), the procedures or supplies (what), the place of service ...