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Medicare has that routine foot care policy that does not allow the billing of B35.1 without an underlying condition, however, what if the fungus is in the finger nails? What diagnosis codes are you billing to report the fingers rather than the toes. Medicare has denied E/M services when we bill with B35.1. Very frustrating. Must we appeal with medical notes on all of these?
Bill procedure and E/M with 25 modifier.
I say no E/M.
What do you say.
Evan Sade, CHC, CPC
Dermatologist and owner of Treasure Coast Dermatology Tim Ioannides, located in Vero Beach and Port St. Lucie, Florida has agreed to pay $ 2.5 million in a resolution of allegations that he violated the False Claims Act by billing Medicare and TRICARE for procedures he did not perform. Dr. Ioannides also reached an agreement to operate under scrutiny with the Department of Health & Humans Services for 3 years.
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Dr. Norman A. Brooks, M.D., the owner of The Skin Cancer Medical Center in Encino, has paid the United States nearly $ 2.7 million on April 10th to resolve allegations that he submitted bills to Medicare for Mohs micrographic surgeries for skin cancers that were medically unnecessary.
The post Dermatologist in Encino to Pay $ 2.7 Million appeared first on The Coding Network.