Hospitals require that we do an H&P within 30 days of taking a patient to the OR. If this visit is more than 48 hours prior to surgery, is that a billable visit?
Month: April 2017
Whose NPI number do we bill under when a PA sees the patient in the office under the “incident to” rules for Medicare? We bill under the NPI number of the physician who is assigned to the PA. Is that correct?
If a Medicare patient has been admitted to the hospital as an inpatient and the patient is seen by me first in the ED before they are moved to an inpatient bed, do I bill an ED visit or an initial hospital care code when surgery is not planned? I will be following the patient in the hospital.
We perform a great deal of nail clippings for patients with fungus in our office. At present we have not been charging for this. Is there a CPT code for this service?
No and no. CPT 22830, for exploration of spinal fusion, is used once regardless of the number of levels explored. It is assumed that you explore “both sides” of the spine which is typically considered a central structure from a coding standpoint.
We are seeing payors ask for payment back when we use Modifier 80 for assistant surgeon. Is there a reason why they would take the payment back?
Aesthetic Society News – Spring 2017 by Karen Zupko, President “Sorry, I didn’t call you back last week, Karen. I was climbing mountains in Nicaragua.” That was the message that New Orleans plastic surgeon John Church, MD, left for me after my call requesting an interview. What a perfect message and precursor to the fascinating,...
AAOSNow – April 2017 by Karen Zupko Frequently Asked Questions – Pain Management In Orthopaedic Practices Increasingly, pain management specialists—physical medicine and rehabilitation specialists or anesthesiologists—are joining orthopaedic groups that have adopted a more global approach to musculoskeletal system care. However, this presents challenges for the billing time, particularly with respect to coding procedures and transfers...