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consultations

  1. D

    Wiki Shared Services & Consultations-What are you doing?

    Effective January 2010, Medicare no longer reimburses for consultation services/codes and instructs providers to continue to document the request, the reason, and to render an opinion for the encounter. Medicare patients are then billed 99201-99215 for outpatient consultation services. CMS...
    • Diane P
    • Thread
    • consultations shared services split/shared consultations split/shared services
    • Replies: 0
    • Forum: E/M
  2. C

    Wiki AdvizeHealth - Anyone have audits with this 3rd party auditor for BCBS-NJ?

    I am managing an audit with AdvizeHealth - a 3rd party auditor for BCBS of NJ, based in Tampa FL, and wanted to hear from members that were audited (Pre- or Post-pay) in the last 3-years by AdvizeHealth and you had to return overpayments? How would you rate the quality / accuracy of the audit...
  3. D

    Wiki Billing Hospital Consults

    One of our providers (we are a specialist group) did a consultation in the hospital. The patient is on Medicare. Since you can't bill consultations, what CPT code should we use? I know to change the place of service.
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