alp.jeffrey
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I'm wanting to get some info on 99211. I have all the basic info but I need something about documentation in the office visit. I work in Urology and we bill catheter removals or teaching visits with a 99211. The visits are done by a nurse or MA. I see where they need to put documentation to justify why the patient is there essentially. Sometimes they end up doing a bladder scan (51798). They basically are putting an order in the visit for that service.
If an order is placed, does this need to be changed to a 99212 since the physician is in office and told the nurse/MA to do the bladder scan but he doesn't actually see the patient but does see the results of the scan?
And the primary biller on the claim, is it the nurse that does the visit? Our EMR has Primary biller, Primary provider, Referring. They've been putting the nurse/MA in as primary provider and the patient's physician as primary biller. Will an insurance process the claim if the primary provider isn't a physician?
Hopefully this makes sense. Maybe I'm thinking too deeply into this. Any help is very much appreciated.
If an order is placed, does this need to be changed to a 99212 since the physician is in office and told the nurse/MA to do the bladder scan but he doesn't actually see the patient but does see the results of the scan?
And the primary biller on the claim, is it the nurse that does the visit? Our EMR has Primary biller, Primary provider, Referring. They've been putting the nurse/MA in as primary provider and the patient's physician as primary biller. Will an insurance process the claim if the primary provider isn't a physician?
Hopefully this makes sense. Maybe I'm thinking too deeply into this. Any help is very much appreciated.