Part B Insider (Multispecialty) Coding Alert
In other news...
PDF
A Texas-based podiatrist was caught defrauding Medicare when investigators discovered his Achilles heel -- he submitted claims for services he claimed to have administered in Texas, even though he was vacationing in Florida at the time.
In addition to billing for services that would have taken place when the doctor was on vacation, he was also accused of allowing a non-licensed practitioner to perform services in his absence and bill Medicare for them under his name.
The unlicensed practitioner was also sentenced to prison, and will be serving a two-year sentence, the news release indicated.
For more on this story, visit the Dept. of Justice's Web site at www.justice.gov/usao/txs/releases/May%202010/052810%20Beltre%20and%20Alana.htm.
Part B Insider (Multispecialty) Coding Alert
- Red Flags Rule:
FTC Delays Red Flags Rule Until December
Amidst an AMA lawsuit, the FTC appears to take a wait-and-see approach.After a year's worth [...] - Diagnosis Coding:
Your Physician's Notes Reveal Diagnosis Codes -- You Just Have to Know Where to Look
If the doctor does not circle a diagnosis, it may be up to you to [...] - Avoid This Common Chiropractic Documentation Mistake
Treatment plans are a must, experts say.You've treated your chiropractic patient, you've selected the correct [...] - Part B Mythbuster:
Know the Ropes to Collect for Chiropractic Treatment
Give your claims the backbone they deserve by properly documenting and billing accurate diagnoses.Myth: Collecting [...] - Billing:
Speed Up New Patient Registration With 5 Tips
A smart billing capture process can prevent claim-submission headaches.If you're trying to grow your practice, [...] - Reader Questions:
No Way Around Carrier's Standby Policy
Question: One of our anesthesiologists monitored a patient's vital signs during excision of a tumor [...] - Reader Questions:
Examine X-Ray and Fluoro on Same Date
Question: When, on the same date, the radiologist places a central venous access device using [...] - Reader Questions:
Solve Lab's PhD Interpretation Dilemma
Question: We have a PhD performing molecular diagnostics and molecular array testing in our lab. How [...] - Reader Questions:
Add Modifier 24 for New Service During Global
Question: Our doctor completed an L5 laminectomy on a patient. Two weeks later, the patient [...] - Reader Questions:
Modifier 57 Isn't for Consults Only
Question: In our office we used to apply modifier 57 to inpatient consult codes. Now [...] - Physician Notes:
MACs Still Keeping Medicare Claims in Holding Pattern
Plus: Texas-based doctor nailed for billing Medicare for dates of service when he was actually [...] - In other news...
A Texas-based podiatrist was caught defrauding Medicare when investigators discovered his Achilles heel -- he submitted [...]