Practice Management Alert
MA Shot Administration Won't Support E/M
Question: New Hampshire Subscriber Answer: You cannot report 99212 since the medical assistant cannot report that code and no physician saw the patient face-to-face during your visit. If your state law allows it and has communicated that to you in writing, 99211 is an option to report with 90473, since the MA did go over the questionnaire with the patient. Keep in mind that 99211 must be supported by a medically necessary E/M service and will required you to append modifier 25 (you'd bill 90473, 99211-25). You should report V04.81 (Need for prophylactic vaccination and inoculation against influenza) as the diagnosis code.
Practice Management Alert
- Compliance:
Watch For Extra Scrutiny of Your Incident-to Billing, E/M Coding, and More
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Prepare for Record Number of New Code Bundles, Thanks to CCI 18.3
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Prevent Denials By Honing Your Modifier 59 Skills
The OIG is focusing on modifier 59, and so should you.With payers scrutinizing claims submissions [...] - You Be the Billing Expert:
Billing for 'Case Management'
Question: Is there a way to bill for case management, phone calls to patients, filling [...] - When Is a Procedure Really Separate?
Medicare has clear guidelines for separate procedure.Having clear documentation of the procedures your surgeon is [...] - Reader Question:
MA Shot Administration Won't Support E/M
Question: This is the first year we are considering providing FluMist without a physician visit. [...] - Reader Question:
Proper Billing Could Depend on 'Supple Neck' Clarification
Question: When my pediatrician writes "Neck is supple," should I count the phrase as part [...] - Reader Question:
Early Patient Exit Means No Billable Service
Question: A mother brought her daughter for a well child check-up, although she didn't have [...] - Reader Question:
Share Your Thoughts on Noridian's IGIV LCD
Question: I heard there was a new IGIV LCD for Noridian, but I can't find [...]
