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Tag Archives: clinic

Who can help me find CIRCC to help me do some coding/New Interventional Rad clinic

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Hello All,
I kind of have a unique situation. I am billing for a new Interventional Radiololgy Practice, and I have never ever done this kind of coding before. I used to be CPC, so I am an experience coder.
But I need help. Right now there are not many procedures and doctor is giving me the codes and I am searching thoroughly with a cpt book and Dr Z book also to make sure I am coding these right, But I need an experienced coder in Interventional Radiology to code these for me for a couple months and answer questions I have. (Of course this is remote also)

I am not even quite sure the pay I need to pay for this. But If you know someone that may be interested that is very good at this kind of coding, please private message me with a pay amount that you expect . Thank you so much! And any suggestions would be appreciated also 😮

Medical Billing and Coding Forum

CIRCC to help me do some coding/New Interventional Rad clinic

Posted on by
Hello All,
I kind of have a unique situation. I am billing for a new Interventional Radiololgy Practice, and I have never ever done this kind of coding before. I used to be CPC, so I am an experience coder.
But I need help. Right now there are not many procedures(maybe 5 a week as this is new practice) and doctor is giving me the codes and I am searching thoroughly with a cpt book and Dr Z book also to make sure I am coding these right, But I need an experienced coder in Interventional Radiology to code these for me for a couple months and answer questions I have.And maybe longer than a couple of months, I just don’t know. (Of course this is remote also)

I am not even quite sure the pay I need to pay for this. But If you know someone that may be interested that is very good at this kind of coding, please private message me with an offer.And a little background about yourself. . Thank you so much! And any suggestions would be appreciated also 😮

Medical Billing and Coding Forum

BH services in an Article 28 clinic

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We have article 28 clinics that are specific to treating behavioral health conditions. We do not bill Incident To because we are under the impression that this can not be done in an Article 28 clinic- can someone verify this is correct?
If I am correct in saying we are not able to bill "incident to" then how do those services done by a CASAC get billed to MCR or can they not be billed?

There are conflicting views in that if the psychiatrist, MD and/or psychologist is overseeing the treatment plan then we can split bill the service, done by the CASAC, under the MD- is this accurate?

Last question, would the REV code for these services done in our clinics be the 900 rev code?

Any help would be appreciated. Thank you!

Medical Billing and Coding Forum

Coding Clinic States use Z12.11 on High Risk Screening Colonoscopy???

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I reviewed documentation from a recent AskMueller seminar of GI coding and billing and it states to assign Z12.11 screening for malignant neoplasm as the primary diagnosis code for high risk screening colonoscopy, stating a surveillance colonoscopy is a screening colonoscopy. I had never heard this before so I started to do some research and found a different set of documents from another AskMueller seminar by a different trainer that states to only use Z12.11 on a high risk surveillance colonoscopy **IF** instructed by the payer policy. I’ve encountered several AHA/AHIMA posts that state the Coding Clinic recently recommended to use Z12.11 as the primary diagnosis code, but payers haven’t changed their policies. This contradicts Medicare guidelines and the vast majority of commercial payer guidelines. Most state that once a history of polyps or cancer, all future screening colonoscopies are high risk (until you have no polyps detected and you are returned to the 10 year interval for screening) and to report the appropriate "history of" code as primary dx and use modifier 33 or PT if further polyps detected.

The AGA in their GI CPT updates review states that audits have begun and take backs are happening on charges billed as routine screening colonoscopy when signs, symptoms or disease are in the medical record (personal hx of colon cancer and/or polyps is a condition). Also, I’m also thinking of the logistics of reporting screening turned diagnostic with this change (if it truly is valid). Currently a commercial high risk colon for personal hx polyps that removes a tubular adenoma by snare is reported 45385, 33 Z86.010, D12.* … it would now be reported as 45385, 33 Z12.11, Z86.010, D12.* ?? I’ve talked with many claims processors and a lot of clinical edits don’t go beyond the primary dx. It would be perceived as a routine preventive colon, not high risk.

I’m just afraid that everyone will start throwing the Z12.11 on ALL colonoscopies and payers will pay, waiving patient out of pocket, then audits will ensue and take backs will be recouped and billing departments will need to chase patients for the out of pocket expenses (and these take backs can occur years after the original billing). A personal hx of polyps, cancer, colitis, etc. allows patients to have more frequent screenings which classifies them as not routine.

Any links to literature that you’re aware of that is gold standard to support this change would be greatly appreciated. I did send a mesage to AskMueller to see if they could clarify their statement. I think payers should cover both routine and high risk colonoscopy 100% it’s ridiculous the different interpretations from payer to payer and policy to policy within the same payer. Some BCBSMi policies cover any kind of colonoscopy once a year with no patient out of pocket and then some others are grandfathered and screenings of any kind are not a benefit.

Thanks in advance for any feedback!!

Medical Billing and Coding Forum

billing for a 99211 with 80307 in a pain clinic

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Hi, I posted this in a different forum, and although there many views, there were no responses. This may be a very basic question for some, but I need some advice. Thank you all.

Hoping for clarification. We have patients enrolled in a pain management program that come in once a month. Sometimes the patient comes in and the MA takes vitals, asks the patient how the pain is, are there any problems with the current medication, takes the patient to rest room so the patient can give the urine sample, collects the sample and forwards to our in house lab . The patient does not see the physician. Can we bill a 99211 and the 80307? I am new to this and want to make sure we are billing correctly. Thank you in advance.

Medical Billing and Coding Forum

billing for a 99211 with 80307 in a pain clinic

Posted on by
Hoping for clarification. We have patients enrolled in a pain management program that come in once a month. Sometimes the patient comes in and the MA takes vitals, asks the patient how the pain is, are there any problems with the current medication, takes the patient to rest room so the patient can give the urine sample, collects the sample and forwards to our in house lab . The patient does not see the physician. Can we bill a 99211 and the 80307? I am new to this and want to make sure we are billing correctly. Thank you in advance.

Medical Billing and Coding Forum

The Most Important Benefits Of A Medical Weight Loss Clinic

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There are major consequences to being heavy. For example, Diabetes Gall Bladder and Gallstones problems, Stroke, Hypertension or high blood pressure, Knee and back pain, Sleep Apnea, Heart Disease, and even Depression could be caused or made worse by being overweight or obesity . Most people who will begin on a diet might not get the long term success they want. That is why having a physician and their staff at the center can be a good thing if you are honestly commit to dropping the pounds.

When you phone the weight loss place , you will set up a appointment with a medical doctor and their people. The doctor will start taking different tests

like body fat index, weight , blood pressure, EKG, and a comprehensive blood work panel. You will make a choice for a diet that is correct for you from the medical choices. These might include bariatric surgery, r a program that is low calorie with shots or drugs, low calorie program or just plain injections.

You will get personal attention from them right away when you start or chose to use them A lot of the other choices of diet programs will have non medical people whose duties are not as important as their sales. Your doctor can be able chart your progress to ensure you have effective weight loss and are safe. They will can say how much is from loss is from muscle loss, water loss, and fat loss and make corrections accordingly.

Your health professionals and doctors at the weight loss place can also help to set accurate and realistic goals using your measurements and body compositions and the program you have. You will get personal attention from your team including the doctor at the weight loss center. A lot of the centers say they get almost 100 percent success with the people who stay with their choice program.

Once you get your goal reached, your relationship for support does not go away. You will have a smaller different kind of contact with the center -like coming in one time per week so they can help you keep your new weight. ninety percent of typical people who can lose weight on a diet plan can add it back on in 6 months, there can also a long running healthy phase at most weight loss clinics.

A lot of clinics have a special plans for particular groups of people such as teens or new moms. As soon you get serious about dropping the pounds off and not about doing the latest and newest fad diet, get in touch with the closest medical weight loss clinic.

Mark Hall reveals ways to lose weight fast and easy to help you reach your goals. You can read his special report disclosing things they don’t tell you about QuickTrim Cleanse.

More Medical Coding Articles

Clinic coding question

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If the provider documents in their note that a procedure was performed, for example they froze 10 warts; can the coder enter the procedure code or does the provider need to have the order entered for that procedure in order to code it?

I have situations where the provider will enter 17110 x10 – which obviously is incorrect – can I change that w/o the provider re-entering that order?

I’m being told that if the procedure is documented in that clinic note, then we can adjust/add the CPT entries to match what is performed. Which makes sense, but at the same time I have doubts.

Medical Billing and Coding Forum