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Tag Archives: Audit

76937 on audit

Posted on by
Hello, can you help with the circumstances required to bill 76937 twice for (right groin) femoral vein and femoral artery access for heart catheterization? I billed once but the audit says it’s 2 separate sites.

Also, is there any reason 76937 can’t be billed with EP procedures? I am not seeing any CCI edits with 93653, 93609, 93621, or 93623. The audit reasoning states fluoroscopy codes are not separately reportable with 93600-93662 and additionally, ultrasound guidance is not separately reportable with these codes.

Any help would be immensely appreciated. I am so very close to the percentage I need. Thank you!

Medical Billing and Coding Forum

E/M audit sheet and tip sheets

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Can anyone tell me where to find the easiest and user friendly tip sheet for E/M codes? My old job had a really easy tip sheet to use that I was used to but I can’t find it online anywhere. I took a small break from coding and need a good refresher on the point system and adding everything up to determine the level. Any help is appreciated! Thanks!

Medical Billing and Coding Forum

billing split ob visits audit

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When billing out ob visits individually, for a patient who is having no problems with her pregnancy I am auditing the visit has 1 dx with 1 for the data reviewed for a urine dip, and then for the level of risk I don’t feel like pregnancy is a self limited or minor problem so I feel like it would be low. So this would make the MDM a straightforward but my Physicians are adamant these should be a 99213. Any advice? :confused:

Medical Billing and Coding Forum

Critical Care Audit Question

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I am currently auditing Critical Care Services and there is a physician who provides the EHR signed document that does not indicate that it is a Critical Care document, but will then Write using a normal pen on the bottom of the last page stating the total time spent providing critical care services. Would this validate the use of Critical Care billed services? The provider does not initial the area that he wrote on the document or provide an addendum on the document. It just looks like he printed the document then later wrote in the total time spent.

I don’t think that this validates, but just need some clarification and input please?

Thank you
Christina

Medical Billing and Coding Forum

CEMC Study / Audit Tools

Posted on by
Hello;

I am studying for the CEMC and am scheduled to test 02/24 (eeeekk – close!)

As I am working my way through the study module and practice guide and I seeing the importance of a really good audit tool. Currently I am using two – half of one and half of another. I like Trailblazers for the HPI and exam; however I like the AAPC Audit Form for the MDM.

Does anyone have any suggestions or recommendations of an audit tool that they found helpful?

I would like to settle on an audit tool by the time I take the practice exam to give myself time for comfort and consistency in use of the tool.

My other option is to ask AAPC is I can use my own audit tool in the exam by combining the parts of the two documents I like into one.

Last question; how many audit tools did you bring into the exam with you. Would you estimate 25 would be a sufficient number?

Thank you for any suggestions!

Medical Billing and Coding Forum