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Proper documentation and coding are about more than just financial benefits. There has been a lot of talk about the financial benefit in addressing hierarchical condition categories (HCCs) on an annual basis. I think it’s time we bring the conversation back to the epicenter. After all, proper HCC documentation and reimbursement does directly impact our […]
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We have a physicians that would like to start offering Lipogem injections to patients. Since these are not a covered item for insurances we would be offering this as a cash & carry item.
If the patient has a procedure done in an ambulatory setting that is covered by insurance and also receives the cash & carry item on the same day in the same setting, can we charge for the administration of the injection. I was always taught you could not. Does that differ when it falls under the cash & carry item.
If it does not, can you point me to an article/policy that states that to support that.
Would this count as having any validity being that the information was obtained by ancillary staff initially? Shouldn’t there be a notation at least to state that he/she reviewed it for accuracy and that he/she performed it and adding to it if necessary?
Is there anything from CMS aside from the Noridian link (https://med.noridianmedicare.com/web…/clarification) which has more clarification? There is argument that this mainly pertains to HPI and that it is only the HPI that should have a notation for reviewed for accuracy, did perform it and adding to it if necessary. Does this also apply to Chief Complaint?
Can I advise my provider that carrying forward the Chief Complaint is not recommended without notation or he should be documenting the chief complaint himself?