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After learning that the public health emergency (PHE) for COVID-19 was to end May 11, the healthcare industry wondered what telehealth services would remain covered. What regulations under the Consolidated Appropriations Act, 2023 (CAA) would extend coverage? Which provisions in the Medicare Physician Fee Schedule Final Rule be enforced? And which of the Centers for […]
The post Telehealth Services After the PHE: Part 2 appeared first on AAPC Knowledge Center.
U.S. halt on the use of J&J’s coronavirus vaccine continues while federal health officials study rare adverse events. An independent advisory panel for the Centers for Disease Control and Prevention (CDC) will meet again this week to resume deliberations about the use of Johnson & Johnson’s coronavirus vaccine, CDC Director Dr. Rochelle Walensky said during […]
The post J&J Vaccinations Remain Paused After Rare Clotting Cases Emerge appeared first on AAPC Knowledge Center.
The Centers for Medicare & Medicaid Services (CMS) knows that a significant amount of money is being overpaid to insurance companies in the Medicare Advantage program, but they have yet to recover these overpayments. That’s about to change. CMS says it will increase the audits being performed on Medicare Advantage risk-adjusted code submissions and apply […]
The post CMS Goes After Medicare Advantage Overpayments appeared first on AAPC Knowledge Center.
If you have any resources will you please share them?
Looking for some guidance on the legality of the following situation: A patient comes in for lab work and the physician or phlebotomist missed something on the order and the patient has to come back. Do you no charge the venipuncture when the patient comes back as a courtesy because it was our error? Does the venipuncture go on the claim with $ 0.00 or can you leave it off completely? Do we bill the patient because the service was completed?
Thanks
Steph Mescher
My doctor states he would need to relieve the suture and then modify/reconstruct the ear without using any flaps or grafts. He would most likely be able to close any gaps with just sutures.
I know i need to get authorization from the insurance, that is why we don’t want to use an unlisted code. I don’t think this qualifies as complex repair because it is not an open wound.
My question is this- what code do i need to use without using an unlisted code? Would it be 69300 otoplasty? Any help would be greatly appreciated.
HelP!!
I just wanted to throw this situation out there to see what y’all think about it. I have been "retired" due to having kiddos for almost 5 years now, and it look like I’ll be out another 5 with the addition of another little one. I am a CPC but the majority of my time has been in auditing and physician education. I have kept up my credentials through my hiatus and was planning to continue to do so, but I was wondering what employment might look like once the kiddos are in school and I am ready to return. With the changes that have occurred and will continue to take place in my time away, I am concerned that I will have a hard time finding employment. I’m asking now, because if that is the case, I might need to have another plan for when I do return.
Thank you for any thoughts you all may have on this!
Karissa