Medicare Compliance & Reimbursement

These Q&A get you up to speed on correct coding and documentation for pulmonary rehabilitation payments. Whether your physician oversees an outpatient pulmonary rehabilitation (PR) program, or aims to expand inoffice PR services under the anticipated national coverage determination (NCD), your reimbursement could come up short unless you know exactly who should bill each code. While your local Medicare Administrative Contractor (MAC) still has the final word on PR specifics in your area, there are common threads on which Medicare is likely to base the NCD, expected on Jan. 1, 2010. Read  on for the answers to common PR coding questions. Q: What Can I Report if the Physician Doesn't Deliver PR? Even if your physician is not directly involved in the provision of PR care, that doesn't mean you don't have anything to code. You can report E/M codes for periodic visits to evaluate the patient's underlying condition, any [...]