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Thread: Heart Failure Clinic Billing

  1. #1
    Join Date
    Apr 2007
    Albuquerque, NM

    Question Heart Failure Clinic Billing

    AAPC: Back to School
    Looking for help with billing out a Heart Failure Clinic. Is anyone doing this? I am at a total lose.

    I have a medical director, two nurses with educational certificates. that will see patients incident-to, and they want to do cardiac rehab, however, one thing they want to do is if there is a medication change, the nurses, will contact the patient, PCP and the PCP will make the decision and the Medical Director (Cardiologist) is good with signing off on it.

    I need to know

    How often can I bill for a patient visit?
    What CPT codes?

    Any help would be appreciated...

    Penny Clark, CFPCS,CCAT
    Physician Practices Billing Supervisor
    Alamogordo, NM

  2. #2
    Join Date
    Apr 2007

    Default reference

    http://www.cms.gov/manuals/Downloads/bp102c13.pdf for rual health clinics and FQHC

    If you are asking about requirements and limitations to 99211, "incident to," section 60 can provide some useful information. Note that there are conditions requiring the supervising physician to be "immediately available" as described in the link.

    http://www.cms.gov/manuals/Downloads/bp102c15.pdf , also section 60

    hope this helps
    Last edited by jackson7591; 07-26-2011 at 11:39 AM.

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