Archive for 'Coding Challenge'

Reader Question: Take Care Adding Family Time to Critical Care

Posted on 08. Apr, 2014 by .

0

QuestionDoes discussion time with family members count toward critical care? (more…)

Continue Reading

Reader Question: Wait to Report High BP Reading Until Billing Global Service

Posted on 25. Mar, 2014 by .

0

QuestionWe have a patient pregnant with twins whose BP readings at her second prenatal visit were very high. The physician wanted the patient to come in every two weeks for a simple nurse BP check to have her pressure monitored. Half of the readings were high and the others normal. Should I bill the insurance for the nurse’s visits done outside of her antepartum schedule? (more…)

Continue Reading

Reader Questions: How to Receive Full Payment for Pilon Fractures

Posted on 12. Mar, 2014 by .

0

QuestionOur surgeon stabilized a pilon fracture using an external fixator and operated to fix the fibular fracture. After two weeks, an internal fixation was done. Can we report both the external and internal fixation procedures for this patient? (more…)

Continue Reading

Reader Question: Furnish Entire Address, Not Generic Location in Block 32 of CMS-1500

Posted on 26. Feb, 2014 by .

0

QuestionIf you are billing home visits, 99341-99350, the place of service is 12. My question is what will appear in block 32 of the CMS-1500? Do I have to enter the patient’s address into my computer software database as a location, or can I make up a generic location in my database that just states: Patient Home, see block 5 on CMS-1500 for physical address? (more…)

Continue Reading

Reader Question: 6 Questions Assess PHI Risk

Posted on 11. Feb, 2014 by .

0

Question: I’m always concerned about protecting our patients’ health information, especially if they receive care that they don’t want to become common knowledge. What’s your advice for these situations, especially when the patient receives care from multiple departments in the hospital?
(more…)

Continue Reading

Reader Question: Watch for Coding Trends

Posted on 22. Jan, 2014 by .

0

Question: We recently finished our first internal audit and found a potential issue: One of the doctors told me that they only choose level 99212 when it is a follow-up from a previous visit. He chooses levels 99213 and above for everything else. I do not believe it is that simple because I thought even if it was not a follow-up visit, something like a minor cold might warrant 99212. Can you advise?

With Ask An Expert you can rely on our experts to clear away all coding confusion and doubts that are bothering you. Get answers within 24 business hours from certified coders. Click to know more.

(more…)

Continue Reading

Reader Question: Know How to Email Without Violating HIPAA

Posted on 08. Jan, 2014 by .

0

QuestionI sometimes e-mail patient records to consultants for help on how to bill. How can I make sure I’m not committing a HIPAA violation? (more…)

Continue Reading

Reader Question: Facing Denials For Same Session 99407 and E/M? Check This

Posted on 19. Dec, 2013 by .

0

QuestionI am billing 99407 with 99213 and getting denials. I have used the modifier 25 with 99213, but it seems to be asking for a modifier for the 99407. Can anyone help me with this modifier? Also I am using TOS 9 for consultation, would this be correct or should I be using TOS of 1?

Ask An Expert Subscribe for Ask An Expert and clear away all coding confusion and doubts that are bothering you. Get answers within 24 business hours from certified coders. Ask An Expert is available at price of just $199.95 per year! Click here to buy.

(more…)

Continue Reading

Reader question: Date of Service Determines Impact of Sequestration Cut

Posted on 11. Dec, 2013 by .

0

QuestionDoes the 2 percent sequestration cut apply to claims with dates of service on/after April 1, 2013, or does it apply to claims submitted on/after April 1, 2013? (more…)

Continue Reading

Reader Question: You May Need 2 Codes for Routine Hip Follow-Up

Posted on 27. Nov, 2013 by .

0

Question: Which diagnosis code should we report for a patient who comes in for a routine hip replacement follow-up that includes an x-ray?

(more…)

Continue Reading