Hello,
Did anybody work for this company National Medical Reviews Inc.,. Any input appreciated
Thanks
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Questions about cath documentation
Do you require your physicians to state they selectively engaged the coronary arteries or the bypass grafts in their documentation?
The Weirdest Thing About Critical Care Coding
Critical care coding is complex. You need to be certain that documentation supports that the patient has a critical illness or injury. You must be sure that the time reported as critical care does not include separately-billable services. But critical care reporting is truly exceptional for one reason: critical care code 99292 Critical care, evaluation […]
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Frequently asked questions about Medicare Part B
Question about Chief Complaint
How would you handle this coding situation for the CC and parts of HPI?
This is what the physician documented,
History of Present Illness:
1. Follow up, review apt
(name here) is doing well generally–summary of his issues are below.
I don’t feel this states a Chief Complaint and there are no elements for the HPI. I don’t think I should query the provider asking for the chief complaint and HPI because this can create a different e/m level after the physician has already signed the note and I think this encroaches on leading the provider. In the assessment/plan the physician does state what they went over.
Would you determine this as non-billable? Looking for advice on what you would do. Thank you
Career Advice and Question about Hospital Outpatient Physician Coding
I’ve been coding surgeries at an Ambulatory Surgery Center for 3.5 years and wanted to know the differences between ASC coding and Hospital Outpatient Physician coding. What type of codes do hospital outpatient use? My assumption is E/M codes and one-day procedures similar to an ASC. I’m CPC certified and recently obtained my COC last month. Bottomline, I wanted to have some re-assurance this is a responsible next step for my career.
Thank you for your time,
Jack
10 things you need to know about CMS? final SNF PPS rule, and PDPM
What are the experts saying about PDPM?
Additional Information About Changes Coming in 2019
As mentioned in last month’s officer news, requirements for chapters will be slightly different in 2019. Six educational events will still be required but not all events must be traditional meetings. Events that will be approved are defined as: Traditional meetings – A minimum of 4 are required annually Officers are present All attendees are […]
AAPC Knowledge Center
Question about MD provider specialty for SUD treatment centers.
This is sort of a weird question, but I did not know the answer.
In most states, you can run a free standing substance abuse facility with a medical director of any provider specialty. However the standards of care for both United Healthcare and Cigna state that initial psychiatric evaluations have to be done by a board certified psychiatrist or addictionologist. I have heard that Cigna also allows the initial psych evals can be done by a specialized psych ARNP.
So here are my questions. Would it be okay for a psych ARNP to provide the initial face to face psychiatric evaluation? If so, can they report to a medical director that has a scope of practice outside of Psychiatry or Addictionology?