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consultations

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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
- Sep 26, 2019
- consultations shared services split/shared consultations split/shared services
- Replies: 0
- Forum: E/M
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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...
- curtudell
- Thread
- Dec 4, 2018
- advizehealth bcbs-nj audits consultations insurance audits
- Replies: 0
- Forum: Auditing General Discussion
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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.
- debneas
- Thread
- Feb 2, 2016
- bill code consultations cpt hospital
- Replies: 13
- Forum: Medical Coding General Discussion

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