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Tag Archives: Calls

The OIG calls out a CA Medical Group for Inaccurate Charges

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Santa Monica, California based Oceanside MedicalGroup did not comply with Medicare necessities when charging for psychotherapy services, in keeping with a report from Health and Human Service’s OIG. The Office of Inspector General said none of the hundred sampled beneficiary days, comprising of 103 psychotherapy services, complied with Medicare any needs. Furthermore, within the majority of cases, psychotherapy either wasn’t provided or time for psychotherapy wasn’t documented, per the Office of Inspector General.

Read the Full Story Here!

The post The OIG calls out a CA Medical Group for Inaccurate Charges appeared first on The Coding Network.

The Coding Network

AR follow up calls

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I need to set a goal for the AR staffs and I would like to know how many calls other office makes per day.
We used to use billing service just for AR follow ups and they called 25-35 calls per day(8 hours) per person.
I wasn’t happy and didn’t renew the service.
Of course, I don’t want to set the goal too high.
How many calls does your office staffs make for follow up per day?

Medical Billing and Coding Forum

Travel reimbursement for phlebotomy house calls

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Hi to all. I’ve been trtying to get the best possible answer to my question but it only shows on how Medicare Reimburse Travel expenses using the P9603 and P9604. This coding part is new to my ear, It’s my 1st time to code for laboratory and travel expenses. Is travel expense reimburseable for commercial insurances. If yes what’s the code to use . And where can i get detailed or more info about cpt codes to use for travel expenses Any help will be appreciated.. thank you

Medical Billing and Coding Forum

House Calls

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The physician I work for has a large population of Medicare patients, many of whom at some point find it difficult to come into the office due to their declining health status. Does anyone have any advice or experience with billing house calls to Medicare? My physician is thinking specifically: wound care, eval for uti, medication reconciliation/mgmt., etc. Thanks in advance for any input!!

Medical Billing and Coding Forum

Medicare Contractor Calls Out the Perils of Undercoding

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When it comes to audit results, most compliance experts, providers, and coders worry about “overcoding,” or reporting a service or procedure not sufficiently supported by documentation. Although overcoding is definitely a problem—and one that can get you into serious hot water—that doesn’t mean you’re making the right choice to “play it safe” by deliberately undercoding, […]
AAPC Blog