Although you may not think you get paid for it, it’s included in the payment for surgery. In July 2017, the Centers for Medicare & Medicaid Services (CMS) began requiring medical offices with 10 or more practitioners in nine states (Florida, Kentucky, Louisiana, New Jersey, Nevada, North Dakota, Ohio, Oregon, and Rhode Island) to report ...
Be sure to provide adequate clinical documentation to support 99024. By Barbara Aubry, RN, CPC, CPMA, CHCQM, FABQAURP As of July 1, the Centers for Medicare & Medicaid Services (CMS) began auditing claims for nearly 300 targeted services to determine whether CPT® 99024 Postoperative follow-up visit, normally included in the surgical package, to indicate that ...
Jun 16th, 2015
Q: A Medicare patient visits his primary care physician for dressing changes two weeks after a major surgery, which a surgeon performed. How would you code the PCP’s services? A: It depends. If the physician has a transfer of care agreement with the surgeon, you would append modifier 55 Post-operative management only to the surgical code. Modifier ...
Aug 1st, 2013
When providers are doing the work for unrelated post-op procedures, get paid for it.  By Erin Andersen, CPC, CHC I had an opportunity to audit a surgical specialty that wondered if they could (or should) bill inpatient subsequent visits when seeing their patients after surgery. Good question! The answer is, “Maybe.” If the post-operative (post-op) ...