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Pediatric Coding Alert

Reader Question:

Location Doesn't Impact Encounter Status

Published on Mon Feb 04, 2013

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Other Articles in this issue of

Pediatric Coding Alert

CCI:
New Edit Bundles Immunizations With E/M Services, Causing Rash of Denials
CCI also impacts how you’ll report newborn services with critical care.

With [...]

The Lowdown on CCI:
Know why modifiers are your friend when dealing with CCI bundles Many readers who wrote [...]

Compliance:
Pediatrician Charged With Healthcare Fraud for Overbilling Medicaid
Physician faces up to ten years in prison for the crime. If you think Medicaid [...]

ICD-10:
Consider 'K' Codes for Umbilical Hernia Services Next Year
You’ll say goodbye to code 553.1 effective Oct. 1, 2014. Umbilical hernias are fairly common [...]

You Be the Coder:
Reporting Units Trumps Use of Modifier 76
Question: We use modifier 76 (Repeat procedure by the same physician or other qualified healthcare [...]

Reader Question:
ADD Alone Doesn't Warrant Modifier 25
Question: We have many patients with ADD or ADHD. We do yearly exams on these [...]

Reader Question:
Look to Dx for Repeat Lab Test
Question: A patient came in for a well check. The pediatrician ordered a urinalysis, which [...]

Reader Question:
Consider Whether to Re-Report Physical Exam
Question: On an electronic medical record (EMR), do I need to redocument the physical exam [...]

Reader Question:
Location Doesn't Impact Encounter Status
Question: A hospitalist physician asked my pediatrician to see a premature newborn who failed a [...]

Reader Question:
No New Code Describes Paperwork
Question: I’ve heard that CPT® has a new code for reviewing records separate from an [...]

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