Here8217s what the OIG is looking for and Medicare carriers will be too. Did healthcare providers meet Medicare requirements and guidance when billing for psychotherapy services during the public heal... [ Read More ]
After learning that the public health emergency PHE for COVID19 was to end May 11 the healthcare industry wondered what telehealth services would remain covered. What regulations under the Consolidate... [ Read More ]
AAPCs HEALTHCON 2023 ended today after four days of education inspiration networking and fun. The day began with an early networking breakfast followed by the mornings keynote address. Motivational sp... [ Read More ]
AAPC8217s HEALTHCON 2023 continued in Nashville and virtually today. Sessions were held at the Gaylord Opryland Resort 38 Convention Center. Early birds could join a session on how to build their bran... [ Read More ]
Staying up to date is essential to the business of healthcare but current codes arent always the answer. When youre responsible for an audit working an appeal or researching proper code use for a prev... [ Read More ]
Based on NCCI guidelines, modifier 25 would be appended to CPT 99497 when reported with 99223 when appropriate. For this NCCI edit pair, CPT 99223 is the column 1 code and 99497 is the column 2 code.... [ Read More ]
Anyone know or have been able to find any information on billing for a residential facility in West Virginia for federal payers? Commercial insurance companies use Nursing Facility Care Codes 99304-99... [ Read More ]
I found this under the lay terms for 90785. Hopefully this is helpful.
This add–on code represents increased work intensity of psychotherapy services that adds difficulty to delivery of s... [ Read More ]
[QUOTE="Cavalier40, post: 429445, member: 333983"]From my understanding, a facility that performs SA Detox and Residential care should be using the hospital inpatient e/m set (99231-99233) when report... [ Read More ]
From my understanding, a facility that performs SA Detox and Residential care should be using the hospital inpatient e/m set (99231-99233) when reporting physician encounters that medically manage or ... [ Read More ]
My provider is a Hospice employee, and I am a coder for IM clinic that is affiliated with local Hospital and Hospice facility. Commercial payors have returned claims submitted for POS #34/Hospice with... [ Read More ]
Nursing Facility Care codes (99304 - 99310, 99315 - 99316 and 99318) all [B]require face-to-face time[/B] with the patient. Telephone orders are not separately billable. If the provider reviews and do... [ Read More ]
Our physicians do these types of visits.....I post as appropriate nursing home charge (99304 - 99316). POS would be SNF 31, NF 32. If it is a Hospice facility, then use 34. Attach Modifier GV to CPT c... [ Read More ]
I have many questions since I usually only do the facility coding for our GI practice.
Some of our referring doctors have asked one of our staff physicians to see some of their patien... [ Read More ]