Recent content by dsmith06351

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    Billing Medicare for Patient Lift system repairs

    What is the proper way to bill for repairs for E0640. Would we bill the E0640 with a modifier RB or do you use K0739? I can't find an answer on the Medicare website, I have found that they do pay for it but no explanation as to how to bill. Thanks for any help
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    New York Medicaid

    Can anyone familiar with New York Medicaid help me with this denial reason? "The CPT codes are not assigned to a product of ambulatory surgery (PAS) group and or the facility does not have an established rate for the PAS group." We are an out of state hospital and billed 77002, 73222, 23550...
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    Medicare payment calculations

    Our Workers Compensation follows the Medicare OPPS guidelines and status indicators for payment. At this time I need to manually calculate the payments. Reading the OPPS guidelines 10.4.1 Combinations of Packaged Services of Different types that are furnished on the same date of service, when...
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    Multiple Q1 Status Indicators

    When there are multiple Q1 status indicators on a UB with no other services that these would be packaged into, is only one paid regardless of the APC assignment. For example, if a Q1 lab is billed on the same UB as a Q1 xray would only one get paid? Any help would be appreciated, I am...
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    How Many bullets?

    Using the 1997 Musculosckeletal Exam how many bullets would you count this as? Motor Exam: Tone and bulk Intact. Strength is 5/5 throughout Gait: Intact Thoracic/Cervical: Range of motion preserved. Some paraspinal tenderness to palpation. No pain to percussion. No anatomic step-off Lumbar...
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    Psychologist/Psychiatrist

    Would this hold true with a LCSW or a LPC? If the patient is established in counselling with the LCSW and then is referred to the psychiatrist for medication.
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    coding for E/R visits

    We use LCSWs in the E/R for crisis intervention. After being cleared by the E/R doctor the patient is seen by our LCSW for evaluation (mostly suicidal ideation). In most cases the patient is kept overnight and reevaluated the next morning and then discharged. We bill 90801 for the evaluation is...
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    LCSWs performing crisis intervention in ER

    How would we bill for a LCSW who sees a patient in observation. Here is the scenario, The patient presents to the ER and the LCSW does the crisis intervention we bill a 90801. The patient is going to be admitted however we have no beds so the patient is placed in observation (could be for 2 or...
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    Behavior Health Audit Tool

    Please send me a copy also Thank You Denise dlsmith@lmhosp.org
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    MDM question - auditing cardiology

    I am new to auditing cardiology visits and I am looking for some clarification on the table of risk. 1. What types of tests are included in the cardiovasular imaging studies with contrast with identified risk factors? 2. What types of tests fall under cardiac electophysiological tests? I...
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    table of risk questions

    I am new to auditing cardiology visits and I am looking for some clarification on the table of risk. 1. What types of tests are included in the cardiovasular imaging studies with contrast with identified risk factors? 2. What types of tests fall under cardiac electophysiological tests? I...
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    Documentation Help

    Thank You, Denise Smith CPC, CEMC
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    Documentation Help

    I am auditing a surgeons dictated Consultation note. At this visit it was decided to perform surgery the format that this doctor uses is designed to not have to redo the consultation at the time of surgery. In the header she dictates an admin date. During the plan she states that the surgery is...
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    Newsletter has gone out

    Could you please add me as well. dlsmith@lmhosp.org
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    discharge from inpatient psych to medical floor

    Can I bill a discharge from an inpatient psychiatic floor on one day and then bill a subsequent hospital visit the next day, if the patient is discharged from the psychiatric unit and transferred to the medical floor within the same hospital? the patient was admitted to the inpatient...
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