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Learn the latest changes to reporting products and procedures related to Chimeric Antigen Receptor T-cell therapy to ensure proper coding. Expensive cutting-edge cancer therapy is available to Medicare patients nationwide. Back in 2019, the Centers for Medicare & Medicaid Services (CMS) finalized the long-sought rules for coverage of chimeric antigen receptor (CAR) T-cell therapy, a […]
The post CAR-T Reimbursement Requirements Revamped Again appeared first on AAPC Knowledge Center.
Patient came into the office (Urology) for scrotal swelling. Doctor examined patient – who was a new patient – and sent him to the ER for an emergent ultrasound to rule out abscess or torsion. He saw the patient in the ER later and ended up doing surgery. Both E&Ms got billed and, weirdly, they got paid. Then BCBS wised up and took back the money on the hospital charge. I know if the patient gets admitted from the office, you essentially build the office visit into the admission code, but what about this situation? Can we bill both? We’re querying the doctor to see if he planned to see the patient in the ER or if he was on call and got called in when the ultrasound was read. If it’s the latter, we might have a leg to stand on in appeal, but what if it’s the former?
Thanks!!!
Patient came into the office (Urology) for scrotal swelling. Doctor examined patient – who was a new patient – and sent him to the ER for an emergent ultrasound to rule out abscess or torsion. He saw the patient in the ER later and ended up doing surgery. Both E&Ms got billed and, weirdly, they got paid. Then BCBS wised up and took back the money on the hospital charge. I know if the patient gets admitted from the office, you essentially build the office visit into the admission code, but what about this situation? Can we bill both? We’re querying the doctor to see if he planned to see the patient in the ER or if he was on call and got called in when the ultrasound was read. If it’s the latter, we might have a leg to stand on in appeal, but what if it’s the former?
Thanks!!!
I’m wondering if anyone has been in the same sort of situation as me before, and seeking advice on what my next step should be to get
back to work in coding.
I graduated MATC/Madison college in 2010 with my CPC-A license.
I worked at the VA in medical billing and then Pharmacy billing.
My husband and I then started a family and I have been staying home with my kids until now,( 1st grade and 4k)
I’ve kept my license/certification current every year and kept up with CEU’s.
I’ve ordered the PRACTICODE internship/externship online program from AAPC to help refresh me on coding.
I’d like to (eventually) work from home, but I don’t even know where to start.
I’m hoping that practicode, in addition to removing my A and giving 1 year of exprience, will refresh and I’ll feel more
confident about coding again.
Has anyone gone back to work from being a stay at home parent for a number of years? I don’t feel confident coding
yet, so much has changed…are there places that will let you job shadow/train on the job when you haven’t had
recent expirience? I’ve also had about 7 years experience in healthcare claims prior to school for medical coding.
Thank you for any and all advice!
Katie
Citing “stakeholder concerns,” the Centers for Medicare & Medicaid Services (CMS) has once again postponed an update to its Overall Hospital Quality Star Ratings.
The Joint Commission recently released its final sentinel event statistics for 2017. The same medical miscues as last year top the list; however, it seems encouraging that the total number of reported sentinel events declined for a second consecutive year while the proportion of self-reported incidents continued to climb.
Any advice would be appreciated! Thank you in advance!
Physicians won’t have to re-document medical students’ notes in evaluation and management (E/M) documentation any longer. CR10412 revises the Medicare Claims Processing Manual to allow the teaching physician to verify in the medical record any student documentation of components of E/M services rather than having to re-document the work. It appears from the change request that some […]
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