If I see a consult in the ER and during that visit I identify the need for surgery the same day, can I append a Modifier 57 to the E/M service and get paid?
Month: May 2016
A new patient only came in for an ear cleaning and I only billed for an ear cleaning (even though I do open a new chart for this patient) because there wasn’t really another diagnosis to support an E/M code. When the same patient comes back for a visit for sinusitis, do I now get to bill a new patient code (9920x)?
What is an appropriate “source” for a consult? I asked at a recent workshop and the instructors did not have an answer.
We’ve been using the transitional care management codes, 99495-99496, for post-op discharge care (e.g., writing prescriptions, dictating the discharge summary) while the patient is in the hospital after surgery for breast reconstruction or flap reconstruction procedures. Medicare has been denying the codes. Should we appeal these denials?
If the physician practice is owned by the hospital, and the midlevel practitioners are employed by the hospital, can the physicians bill incident-to service and/or split shared visit in the hospital?
Physicians Practice – 2016 by Karen Zupko What has your billing service done for you lately? A good vendor does more than just submit claims, send three patient statements, and hope for the best. Here are eight things you should expect a billing service to do, in exchange for their service fee. Read Full Article
PA and NP Billing: Are You Doing It Correctly? – May 2016 by Sarah Wiskerchen, MBA, CPC The effective use of physician assistants (PAs) and nurse practitioner (NPs) in an orthopaedic practice requires an understanding of key billing rules that apply to these nonphysician providers (NPPs). Compare your practice’s internal procedures to the following common questions...