coding compliance

  1. A

    Wiki When Preventative visit is denied for frequency, can you bill regular office E/M if there is enough to support?

    I have one payer that sees preventative visits in a rolling 12 months and OBGYN and Family Practice aren't considered separately. Is it compliant to bill a regular office E/M if we receive a denial for frequency exceeded for the preventative visit and there is enough to justify a separate E/M...
  2. foster8488

    Wiki Coded Diagnosis Doesn't Meet Reporting Criteria

    Good morning! I recently started a new role at a new organization. It's my responsibility to determine how to address diagnoses that providers are coding when they don't meet reporting criteria. For example, a provider sees a patient for alcohol dependence (which is evaluated/addressed with a...
  3. D

    Wiki Patient management at the hospital, doctor's orders. Is there a CPT that I am missing?

    Patient presents to hospital with symptoms, RN is relaying patient symptoms to provider. We have a provider telling our providers that they can bill for a service if they are giving an RN visit instruction over the phone. Provider hasn't seen the patient face to face or spoke to the patient...
    • DK47
    • Thread
    • #obgyn coding compliance hospital coding
    • Replies: 2
    • Forum: OB/GYN
  4. M

    Wiki G codes and times

    Hi all, I have a few providers who insist on submitting billable Gcodes for weight counseling, depression discussion, tobacco counseling etc when there is "template" documentation. These template responses are generic in nature and not specific to patient case ie "patient counseled on diet and...
  5. C

    Wiki Coding and billing from incomplate records

    I am questioning the legality and ethical propriety of coding and billing medical procedures from the doctor's handwritten notes on the patient's hospital facesheet. In this situation, the doctor is recording the date, the procedure and Dx description for hospital inpatients on the patient's...
  6. C

    Wiki Coding and billing from incomplete records

    I am questioning the legality and ethical propriety of coding and billing medical procedures from the doctor's handwritten notes on the patient's hospital facesheet. In this situation, the doctor is recording the date, the procedure and Dx description for hospital inpatients on the patient's...
  7. C

    Wiki Coding & billing from incomplete records

    I am questioning the legality and ethical propriety of coding and billing medical procedures from the doctor's handwritten notes on the patient's hospital facesheet. In this situation, the doctor is recording the date, the procedure and Dx description for hospital inpatients on the patient's...
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