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Centers for Medicare 38 Medicaid Services CMS Transmittal 1766 Change Request 6548 issued July 10announcesthe changes that will be included in the October 2009 release of Medicares edit module for cli... [ Read More ]
Our prior employee that was our credentialing. department, has left. she spent time training the new person, but it was not enough time. Does anyone have any recommendations on what we can do t... [ Read More ]
Hi - I'm trying to find some clear documentation regarding requirements on when notes need to be signed. We have one primary care provider whose notes are billed before they're signed (he completes th... [ Read More ]
My nurse care manager traveled to a patient's home and completed a visit. The idea was for the visit to be a shared visit with the patient's PCP zooming in at the last part of the visit via telemedic... [ Read More ]
The physician keeps billing visits for follow up of normal results.
Results was done over the phone.
Shouldn’t this be consider abuse?
No medical necessity established here.
There is nothing else be... [ Read More ]
Hi Derm Coders!
I usually code Urology with a little derm here and there, so I'm looking for your expertise. One of my doctors has a patient with "multiple sebaceous cysts on his scrotum" ... [ Read More ]
When we must separate the OB package and the patient had 1-3 visits and we are directed to bill as an E/M code.
I am trying to figure out how to "carve" out the LOS.
As you know, most norm... [ Read More ]
In our office we split vision and exam codes 99214 or 92014 (etc.) and bill the refraction 92015 for (H52.4 Presbyopia) separate. I was told this was done because it had caused problems with ... [ Read More ]
We have received a denial for ARF in a 60 year old patient admitted for bradycardia. Creatinines were 1.76 day 1, 1.43 day 2, 1.36 day 3, and finally 1.30 on day 4. Our labs range of normal is 0.6 to ... [ Read More ]