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2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers

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Click here for more sample CPC practice exam questions and answers with full rationale

amending another physician documentation

Is it legal and acceptable for a physician to amend another physician’s documentation? For instance, I code for a clinic with numerous providers. One provider will see the patient and a couple of days later the patient returns, sees another provider. There have been instances where the provider that sees the patient the second time , more than 24-48 hours and will amend the previous provider’s documentation.

Our clinical director is saying that it is legal. I know that a physician can amend his own documentation, but not sure about the later.

Please advise.

Paula

Medical Billing and Coding Forum

Online Patient Portal – Another Innovation of Medical Technology

Latest technology has simplified our lives to a great extent. Internet is helping to simplify many complicated procedures and few examples of the same are exchanging messages, contacting people in distant places using chat and emails, online shopping, reading information of latest events and happenings across the world and collecting information required related to any topic.

One of the most benefited industries from internet is the field of medicine. The latest innovation of medical technology is online patient portals. It is designed to increase communication and relation between patient and health care providers.

Online patient portals help in efficiently managing the available resources with the local physician or provider to reduce the cost of treatment for both patient and the provider that uses advanced technology. It also enables doctors and providers in transmission of everything that is related to treatment of the patients like medical images for diagnosis, reports, medical date related to patient etc. It is also helpful in educating local physicians online on preventing development of chronic diseases via video conferences.

Online portals are also helping physicians to easily schedule appointment with patients as there is increase in demand for health care services which helps patients in avoiding to stand in lengthy lines. Patient portals help patients to have better understanding of the disease they are suffering from, with the help of information provided and can also request for renewal of prescriptions at these portals. Patients are also offered to join various groups where other members also suffer from similar chronic diseases which help in lifting of spirits.

Patient portals not only help patients to directly contact with physicians but also to have remote access to mobile tools. Online patient portals are helping to improve quality of health care in remote and rural areas.

Patient portals are best and easy way of contacting doctors for various ailments and getting them treated without waiting for long time. They are best sources of getting advanced treatment for patients’ condition at affordable prices. They are highly beneficial for both patient and the health care provider in offering and availing best of treatments irrespective of geographic location.

AnyWare Group is a leading supplier of portal solutions for healthcare. The company’s award-winning ROAM Platform enables secure access for patients and providers to healthcare applications and information from any device when they need it. Through the ROAM patient portal, overall healthcare outcomes are improved.

Related Medical Coding Articles

Botox given to patient same dos as another specialist

Our provider gave Botox 155mg and 45mg JW for waste due to pain in cervical region. Medicare denied due to another ENT provider also billing Botox on same dos in the throat. Our claim is being denied because the ENT already billed the botox on the same dos and was paid. The ENT is a totally separate clinic and specialty, we didn’t know patient even saw that provider. Noridian is saying we need a modifier to bypass but I cannot think of an appropriate modifier in this situation. Do we just appeal the denial without a modifier?

Medical Billing and Coding Forum

Claim denial for NCCI Edits from another group

Hi all!
I have a denial for a NCCI edit, the tricky part is, the code they are pairing it with is from a different group all together. I’m not sure of the situation, as far as if the patient was seen one place and then decided to come to us or what, but either way, did an E/M visit along with fundus photos and referred the patient out to a specialist for a detached retina. The insurance company is denying due to another code for a similar procedure being done by another provider on the same date of service. I can’t find anything specific in the NCCI edits that talk about this type of situation and in all my years, this is a first!
Any ideas or thoughts on where I can find this specific information?
Thank you in advance :confused:

Medical Billing and Coding Forum

Yet another 22849 question please!

Easy question I think but I’d like some confirmation!
I’ve got the identical levels part done and dusted. Can I bill for reinstrumentation (22840) or is that included? Thank you!

Well never mind! I just answered my own question on Supercoder –
Code 22849 specifies -reinsertion.- You can’t reinsert a device without having removed a previously inserted device. Therefore removal (22852) is integral to reinsertion (22849), and you should report only 22849 when the surgeon performs both at the same level.
Code 22850 is a column 2 code for 22840 , but a modifier is allowed in order to differentiate between the services provided.
*Use modifier with code 22850

This might be helpful to someone else in the future!

Medical Billing and Coding Forum

DX Z71.0 Person encountering health services to consult on behalf of another person

We have a couple of situations where we need to discuss circumstances with a parent without the patient present.

One example is in relation to terminal illness of a child, and the discussion the provider/parent needs to have without the child in the room.

Have any of you billed an OV with the above diagnosis code under the parent? I have been unable to find payer or coding guidelines specific to this type of situation, but it seems this diagnosis code would fit.

Medical Billing and Coding