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KThe payer will probably give you instructions when the time comes on how they want this handled. The AMA and ACOG will probably also step in with advice. You can't prepare until you see the official guidelines and I know that ACOG for sure will...
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KThe AMA did a webinar earlier in March on this subject. I downloaded the presentation and they outline the changes. https://www.ama-assn.org/membership/events/health-plan-primer-previewing-cpt-2027-restructure-maternity-care-services
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RRPowell posted the thread Wiki Best way to bill repair of a Subtrochanteric Femur Fx and Distal Femoral Shaft Fx together in Orthopaedics.Is it appropriate to unbundle 27245 with a mod 59 when billed at the same time as 27506? Provider is wanting to bill both and we are uncertain as he is using 1 nail to repair both the subtrochanteric fracture and the distal shaft fracture. Is the...
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RDo any of you ladies know what the commercial codes for H0032 and H0001 would be for behaivoral health? This is something new for me that I am helping my work with on there AR and these 2 codes aren't paying and didn't know if you guys knew a...
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HHeather Dominguez reacted to TThivierge's post in the thread Wiki Outpatient PTA supervision documentation with
Like.
Hi Heather I can give some guidance to coding PT sessions. Does it need to be preapproved and for how long by payer? Ensure referring provider added on claim who wants pt. to get Phy Therapy. Use the proper dx codes not just dx G89 pain...list... -
Pam Warren replied to the thread Wiki Nurse Case Manager visits.hmm... I thought the question was with regard to the nurse case manager visit. "Our coders have been billing unlisted code 99499 for a Work Comp nurse case manager visit", Besides, wouldn't the MD visit discussion with the nurse apply to 'data'... -
NNRaizman replied to the thread Wiki Nurse Case Manager visits.Pam - these codes are used for the navigator's services, not for the provider's talking to the nurse navigator, right? I think the poster's question is whether the physician can bill for talking to the nurse case manager, which would not be...
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NActually, there is. Medicare has codes to be used to report nurse navigator services for principal illness care, such as Cancer, or pulmonary disease. G0023 and G0024 are used to report this monthly, based on time. There is a pretty...
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Pam Warren replied to the thread Wiki Passed the CPC exam, next step?.Your next step is to eliminate the expectation that you'll easily be able to get a coding job immediately. I do not mean to be rude or discouraging, but you will be best served in looking for a role in a healthcare organization where you can get...
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Pam Warren replied to the thread Wiki G2211.Reporting this code has very little to do with the individual encounter. Is this a long-term (or expected to be long-term) patient with whom the provider has a treatment relationship? Are there chronic conditions for which the provider is...
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Rreachsmenon@gmail.com replied to the thread Wiki Passed the CPC exam, next step?.Hello, I got certified a month back. I am taking the Practicode route. It is increasing my coding skills.I am also applying for entry-level positions. Honestly, I don't know how long that will take, however, I am keeping my skills up with the...
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Ddesireewhite185@yahoo.com replied to the thread Wiki G2211.Ty! I've had a doctor add it for seeing a patient who received a depo shot. Nothing extra was done; brief note about getting the shot, no bleeding, no pain, no bladder problems. I don't fee like that justifies using G2211. Agree? Ty!
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Ddesireewhite185@yahoo.com reacted to nielynco's post in the thread Wiki new 2027 ob guidelines with Like.
I'm sure that ACOG will weigh in on this as we approach 2027 and of course billing pregnancy care for Medicaid programs might not change at all. I would not anticipate problems ahead of time and give both ACOG and payers a chance to digest the...
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Ddesireewhite185@yahoo.com reacted to Korbc's post in the thread Wiki new 2027 ob guidelines with Like.
Hello, So at the start of 2027 i see one aspect of the new guidelines will be charging e/m's for all routine ante visits and my question pertains to all the pregancies that are mid pregnancy at this time.....This will be an interruption of many...
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Pam Warren replied to the thread Wiki Nurse Case Manager visits.Actually, there is. Medicare has codes to be used to report nurse navigator services for principal illness care, such as Cancer, or pulmonary disease. G0023 and G0024 are used to report this monthly, based on time. There is a pretty...