LMJONES24
New
Just seeing if anyone has an example of the discontinued procedure (74) documentation that you are sending to Palmetto GBA to cover all their requirements to get this procedure paid for. They sent me to the following URL:https://www.palmettogba.com/palmetto/providers.nsf/DocsR/jj-Part-B~8EELE32452
ASC claims that involve a terminated surgery must be accompanied by an operative report that specifies all of the following:
Reason for termination of surgery
Description of services actually performed
Description of supplies actually provided
Services not performed that would have been if surgery had not been terminated
Supplies that would have been provided if the surgery had not been terminated
Time actually spent in each stage (e.g., pre-op, operative, post-op)
Time that would have been spent in each of these stages if the surgery had not been terminated
CPT code for procedures that were scheduled to be performed
I am curious if you have given them all of the above in order to get paid.
Thanks for your help in advance
ASC claims that involve a terminated surgery must be accompanied by an operative report that specifies all of the following:
Reason for termination of surgery
Description of services actually performed
Description of supplies actually provided
Services not performed that would have been if surgery had not been terminated
Supplies that would have been provided if the surgery had not been terminated
Time actually spent in each stage (e.g., pre-op, operative, post-op)
Time that would have been spent in each of these stages if the surgery had not been terminated
CPT code for procedures that were scheduled to be performed
I am curious if you have given them all of the above in order to get paid.
Thanks for your help in advance