In August 2017, UnitedHealthcare (UHC) indicated they would no longer reimburse inpatient and outpatient consultation codes as of Oct. 1, 2017. When the implementation date came on Oct. 1, 2017, UHC indicated they delayed the consultation services revision until 2018: We previously announced that certain revisions to the Consultation Services Reimbursement Policy would become effective […]
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Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page 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 Click here for more sample CPC practice exam questions and answers with full rationaleTag Archives: consultation
Telephone/Internet Consultation and Inpatient Consultation Next day
Mike
Well visit and Consultation
Brief Mental Health Consultation Code
Consultation and minor surgery same day
Situation: Provider consulted on a patient in hospital for vomiting blood. Patient was stable at time of consult. Provider waited for patient’s hgb and labs to come back and decided to perform an EGD due to possible GI bleed. Labs were the indication for procedure at that time. EGD did not show any active bleeding, but duodenal ulcer and old blood in somach, provider ordered for the patient to be transfused. Within 3 hours, patient started to show BRBPR. Provider brought patient back into the OR, and another EGD was performed which showed bleeding duodenal ulcer and then every thing went south. How can I bill the consult along w/the two EGD’s? Many times my providers may perform minor surgery EGD or consultation on the same day of service on Inpatient or obs patient. How do I bill Consults in hospital and minor surgeries same day?
Any advice is appreciated along with any documention or websites!!!
Consultation Coding for Medicare
Medicare does not accept claims for either outpatient (99241-99245) or inpatient (99251-99255) consultations, and instead requires that services be billed with the most appropriate (non-consultation) E/M code. Report outpatient E/M services with the appropriate Outpatient Services code (e.g., 99201-99215, or 99281-99285 for patients seen in the emergency department). The service must be supported by the […]
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Compliance Officer Consultation Fees
I am looking to start consulting as a Compliance Officer.
Does anyone have ANY ideas on a fair charge amount for my services?
Such as an overall risk assessment consult maybe and developing a compliance plan and even staying on as the compliance officer – like a small monthly charge or up front charge?
CPT for E/M Medicare patient consultation in Observation Status
I do not know how to bill for a hospital consultation for a Medicare patient under observation status. Since Medicare does not pay for consult codes, and patient is not inpatient what is the correct code to use?, I was using observation codes but we got a denial because our doctor was not the admitting physician.
Our Dr. was called to see patient for a specialist consultation, please help.
post op consultation
Would the 99215 be billable with a 24 modifier? Nothing documented about carcinoma in the procedure visit, everything was nipple discharge. However, because it is the same anatomy, would that place this encounter unbillable?
Appreciate any feedback