physician billing

  1. K

    Wiki Billing for 76705 or 76604 in the ED

    Our ED physicians are wanting to do the Ultrasounds at bedside. the physicians would be doing the US, not the US techs. Is the hospital able to bill the facility (technical) side of the US since he is using our equipment and the physician bill for the professional side for doing the read?
  2. T

    Wiki Modifier 53 for ASC Procedure?

    I do physician billing (not billing for the facility) and the doctor documented that after anesthesia was administered the patient's "heart rate increased to 120-130 with some decreased bp so procedure not preformed, will need cardiology eval and may consider trusp under local w cognitive...
    • toria11
    • Thread
    • 53 modifier asc discontinued procedure physician billing
    • Replies: 2
    • Forum: Modifiers
  3. E

    Wiki Chronic Vent Management? Physician Fee?

    If the patient arrives with a current chronic vent, can the hospitalist bill for 94002 vent management, initial day? We can find information it cannot be billed with an E/M, but for the initial day, does the provider also need to initiate the pressure or volume in order to code? No luck with any...
  4. B

    Wiki 99222 and 32555?

    Help! I'm hoping someone may be able to shed some light on a billing question I and my boss have. :) We admitted a patient on 12/27/17 for Shortness of Breath (R0602), Abnormal Coagulation Profile (R791), Sepsis (A419), Hypokalemia (E786), Essential Hypertension (I10), Thyrotoxicosis (E0590)...
  5. L

    Wiki How to bill physician consult while patient in acute care hospital on observation

    Hi everyone, I am not understanding this scenario: Patient is located in an acute care hospital, but is on observation status for three days then discharged. The physician was brought in on a consult, and is billing POS 22, 99252 for day 1, and for day 2 is billing POS 21 and 99232. I thought...
  6. L

    Wiki Physician not reporting critical care time

    I have a problem with a physician in our ED not reporting his critical care time so the facility can report it for the revenue. I am trying to find documentation on CMS or any other supporting site to take with me to Quality Assurance to let them know manipulating documentation for maximum...
  7. M

    Wiki Subsequent Hospital Visit and Discharge Management on Same Day

    Need help on this please. Thanks! :) How should the physician bill if they provide subsequent hospital care visit before the patient dies on the same day? I know that physicians may not bill for both a hospital visit and hospital discharge management for the same date of service. Scenario: On...
  8. M

    Wiki Physician Billing in a CAH

    Can ER/ED physicians bill Medicare Directly when working in a CAH. From my research, i believe it depends on the physician contract with the hospital. Thanks in advance Mike You can email directly at mdoyle53@rochester.rr.com
  9. M

    Wiki Physician billing in a CAH

    Can ER/ED physicians bill Medicare directly for services performed in a CAH? It appears from my research the answer is yes but I am trying to find someone who has actual experience or direct knowledge. Thanks in advance Mike
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