What a difference 15 minutes can make when billing EM services. The Centers for Medicare 38 Medicaid Services CMS issued a notice March 14 correcting several errors in the 2023 Medicare Physician Fee ... [ Read More ]
OIG audit finds Medicare could have saved up to 215.8 million over 5 years. Drug testing is generally performed to detect the presence or absence of drugs in patients undergoing treatment for pain man... [ Read More ]
But the cost of submitting a dispute may surprise you. The intent of the No Surprises Act signed into law in 2020 is to protect patients who receive care from outofnetwork providers at innetwork facil... [ Read More ]
Learn how OASISE will affect your VBP numbers. The end of the first quarter of expanded Home Health ValueBased Purchasings HHVBPs first performance year is nearly here and Medicare continues to issue ... [ Read More ]
Find out how comparative billing reports can support your compliance program. Here are six frequently asked questions about comparative billing reports CBRs. I hope the answers help you see how to use... [ 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 ]