-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Latest activity
-
TTThivierge replied to the thread Wiki CAH and E/M.Hello Sabrina I d bill both these scenarios as observation NOT EM codes. If pt moved to inpt. status bill these codes. Ensure the dx code is showing acute or exacerbation hopefully from provider notations. Also per the CPT manual pg 18 -19...
-
TTThivierge reacted to Pam Warren's post in the thread Wiki Is this Fraud? What should I do? with
Like.
Hoo boy. You are in a tough spot. However, yes, keeping patient refunds is a problem, whether it's Medicare or a commercial payer. Here's a great article with some good citations... -
TTThivierge replied to the thread Wiki E/M Clarity Question.Yes you can per description of annual exams (99391-99396 per age) can add CPT 99202-99215 with modifier 25......however documentation must show getting annual physical all data chronic or new problem should be addressed. I d add modifier 25 if...
-
Pam Warren replied to the thread Wiki Is this Fraud? What should I do?.Hoo boy. You are in a tough spot. However, yes, keeping patient refunds is a problem, whether it's Medicare or a commercial payer. Here's a great article with some good citations... -
TTThivierge replied to the thread Wiki Same day 90853 (Group) and 90837 (Individual) with 59 modifier claims being denied.Ntmenendez This will be denied if for the same diagnosis code. The services CPT 90853 and 90847 should be distinct & documentation not for same MH problem. Also the 90847 with parents present is usually for teens, or marital counseling or ADHD or...
-
CCmama12 replied to the thread Wiki 99238 required documentation.According to CPT Assistant July 2011, due to the wording " ..include, as appropriate, final examination of the patient.." a face-to-face service is not necessarily required.
-
Jjmlewis309@gmail.com reacted to amyjph's post in the thread Wiki Where to look for CPC-A jobs or any CPC job with Like.
Please search the forums for words such as CPC-A, job search, jobs, Apprentice, resume, etc. There are probably hundreds, if not thousands of posts with tips and info on this topic. @Tj.Scott67@yahoo.com b sure to highlight your degrees and...
-
MHiii!! Merry Christmas!!! I would need clarification please :) It would be appropriate to bill for 76805 AND 76817 per this documentation???? Required components were visualized and documented (head and neck, face, chest, abdomen, spine...
-
HHannahmcelroy15@gmail.com posted the thread Wiki 99238 required documentation in Inpatient Facilities.Hello, Is "face to face" required in the documentation for a discharge summary in addition to the time?
-
KWhen a provider is doing a Medicare AWV's and addressing other chronic issues, would you give credit for the documentation in the plan to bill the separate E/M? The note in question has been provided below. Subsequent Medicare Female AWV...
-
Ttheresaquinlanmills@msn.com posted the thread Wiki Is this Fraud? What should I do? in Medicare Regulations.I have a provider who knowingly denied patients their refunds. I just found out he has issued only two patient refund checks for the entire year so far. (Those were because of specific patient requests.) He has 3 reports I generated indicating...
-
Ddaniel replied to the thread Wiki EGD stent exchange.If all that was done, was the removal. You'd code CPT 43247, when it's a replacement. Then you'll just code CPT 43266............
-
Iigrigoras@iowaclinic.com replied to the thread Wiki Radial Nerve Hydrodissection with ultrasound.Any answers on this question?
-
CCmama12 replied to the thread Wiki CCI EDITS.Per CPT, 93280 should not be reported with 93286 or 93288, regardless. I would say you will need to void the 93286/88. EncoderPro should have that information with those codes, but they do not...