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Tag Archives: coding
Q&A: Unattended Home Sleep Study
Q. We have submitted unattended sleep study interpretations with code G0399 with Modifier 26 but have received some denials from Medicare and other commercial carriers. Is it appropriate to use one of the following codes 95800, 95801 or 95806 with a … Continue reading
Posted in How-To, Medicare, Noridian, Q & A, Q & A with RMC
Tagged advice, answers, assistance, billing, claim, CMS, coding, compliance, CPT, medicare, noridian, physician, questions, reimbursement
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Q&A: Hospitalist E/M Coding, 2 physicians, different subspecialties
Q. Can a new patient be seen and billed for 2 new patient E/M services when seen by two neurologists in the same group practice, but different subspecialties? A. If you’re following CPT guidelines, the answer is yes. CPT defines a new … Continue reading
Posted in Medicare, Noridian, Q & A, Q & A with RMC
Tagged advice, answers, assistance, auditor, billing, claim, CMS, coding, compliance, CPT, E/M, education, Evaluation and Management, healthcare, hospital, hospitalist, medicare, noridian, physician, reimbursement, services
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Noridian Medicare Part B Update re: ICD-10, posted 1/02/13
ICD-10: Simple Steps to Improve Clinical Documentation On October 1, 2014, your practice and the clearinghouses, payers, and billing companies that you work with will need to use ICD-10 codes. One way to help your practice prepare for ICD-10 is … Continue reading
Posted in Medicare, News, Noridian
Tagged advice, answers, assistance, billing, claim, CMS, codes, coding, compliance, documentation, education, healthcare, hospital, ICD-10, medicare, noridian, physician, reimbursement
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NAS Part B Ask the Contractor Teleconference – November 15, 2012
Date: Thursday, November 15, 2012 Time: 3-4 p.m. CT Toll Free Number: 800-230-1059 No registration is required for this call.
Posted in Audio Conferences, Events, Medicare, News, Q & A
Tagged advice, answers, assistance, audio, auditor, claim, CMS, coder, coding, compliance, conference, education, medicare, physician, questions
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RMC presents at OrHIMA Coding Roundtable Today
Connie Eckenrodt, RHIT, CHCA, CHC, Director of Physician Coding & Compliance at RMC, will be presenting the last session in a 3-part series on advanced E/M coding today for the Oregon Health Information Management Association’s monthly Coding Roundtable. The topic … Continue reading
Posted in Audio Conferences, Events, Medicare, News, RMC
Tagged advice, answers, assistance, audio, auditor, CMS, coder, codes, coding, compliance, CPT, documentation, E/M, education, EHR, Evaluation and Management, medicare, noridian, OIG, physician, physicians, practice
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OIG Report on Coding Trends of Medicare E/M Services
In May 2012, the HHS Office of the Inspector General (OIG) issued a report on the Coding Trends of Medicare Evaluation and Management Services. Medicare payments for E/M services increased 48% between 2001 and 2010 whereas payments for other part … Continue reading
Posted in Medicare, News, RMC E-Alerts
Tagged advice, assistance, auditor, billing, claim, coder, codes, coding, compliance, documentation, E/M, Evaluation and Management, medicare, OIG, physician, physicians, practice, reimbursement
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E/M Audits Hit Center Stage in RAC Region C
CMS has approved the Medicare Region C Recovery Auditor (RAC) Connolly to begin conducting audits of coding for E/M services in physician offices, specifically for CPT codes 99214 and 99215, with dates of service after October 1, 2007. The following … Continue reading
Posted in Medicare, News, RMC E-Alerts
Tagged advice, assistance, auditor, billing, claim, CMS, coder, codes, coding, compliance, documentation, E/M, Evaluation and Management, medicare, physician, physicians
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HPI Element: Modifying Factor
A modifying factor is something that is being done to help or alleviate the problem. In order to qualify this element, there should be some notation of the patient’s response to that which was done. For example: patient has knee … Continue reading
Posted in How-To, News, Q & A, Q & A with RMC, RMC
Tagged advice, answers, assistance, CMS, coder, codes, coding, compliance, component, CPT, documentation, E/M, education, element, Evaluation and Management, history, HPI, medical coding, medicare, physician, physicians, practice, questions, reimbursement, support
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Exam Finding: Extraocular Movements (EOM)
Normally, the eyes move together in concert: when the left eye moves left, the right eye moves left, too. The brain takes the input from each eye and puts it together to form a single image. This coordinated movement depends … Continue reading
Posted in Medicare, Q & A, Q & A with RMC, RMC
Tagged advice, answers, auditor, CMS, coder, codes, coding, compliance, CPT, documentation, E/M, education, eom, eomi, Evaluation and Management, Exam, examination, extraocular, movement, physical, physician, questions
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Pro Fee Coding Question: Consult Requests
Q. Can a physical therapist initiate a consult to a physician for one of their patients?. A. CPT clarifies that a consultation may be requested by another physician or other “appropriate source.” CPT lists examples of appropriate sources to include physician assistants, … Continue reading
Posted in Q & A, Q & A with RMC, RMC
Tagged advice, answers, assistance, billing, chiropractor, coder, codes, coding, compliance, consult, consultation, documentation, E/M, Evaluation and Management, insurance companies, lawyer, nurse practitioner, occupational therapist, physical therapist, physician, physician assistant, physicians, practice, psychologist, questions, social worker, speech-language pathologist
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