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Tag Archives: EKGs

EKG’s in MFM office

Posted on by
I was just hired by an Maternal Fetal Medicine physicians office. I do have prior OB/GYN Experience and have come to realize that MFM is just a tad different because they primarily deal with more complex pregnancies. My provider just informed me that he is planning on conducting EKG’s in the office with them being read by an cardiologist for a flat rate. He states he is having to refer patients out frequently for those EKG’s to be conducted at an cardio, family physician or hospital.

My question is would there be some kind of compliance issue with this? Do you think that it would be cost effective and bring in a little more revenue?

Thanks

Medical Billing and Coding Forum

EKG’s in MFM office

Posted on by
I was just hired by an Maternal Fetal Medicine physicians office. I do have prior OB/GYN Experience and have come to realize that MFM is just a tad different because they primarily deal with more complex pregnancies. My provider just informed me that he is planning on conducting EKG’s in the office with them being read by an cardiologist for a flat rate. He states he is having to refer patients out frequently for those EKG’s to be conducted at an cardio, family physician or hospital.

My question is would there be some kind of compliance issue with this? Do you think that it would be cost effective and bring in a little more revenue?

thanks

Medical Billing and Coding Forum

Best modifer to use when Spirometry or EKG’s are done during an office visit

Posted on by
Admittedly I struggle with when to use modifer 25 verses 59
If a patient has COPD and the provider is looking to assess lung function during a routine follow up appointment
Or
If a patient c/o chest pain duuring a follow up appointment for his diabetes and HTN and the provider orders an ekg
If in both scenerios the providers staff performs the procedures the results are interpreted by the ordering provider and documentation supports same
I beleive a modifer 59 would be most appropriate ,however not completely sure.
I maybe overthinking this but is the use of either modifier determined by reason for the diagnostics whether it be done as an annual assessment(but not duing an annual exam) on the same day to save the patient another seperate visit or diagmostic to rule out a condition or a concern
If anyone can help clear the air I would appreciate your help I have researched abd looked at several examples but still find this confusing
Thank you
Cheri

Medical Billing and Coding Forum

Silly questions about EKG’s

Posted on by
What does it mean to have a ‘confirmed EKG’?

Does physician have to sign and date the EKG tracing? Where is there documentation for this.

The interpretation can be documented in the patient progress note?

Help me with my silly questions. I keep rereading the same information but I hope the way you describe it will help me out.

Thanks.

Medical Billing and Coding Forum

EKGs contanly denid as duplicates

Posted on by
Physician codes 93010, will have 3 in one day, sending on claim as, 93010, 93010-76, 93010-76, claims are submitted sometimes as 2 on one claim form separate line items and a separate claim for the 3rd EKG, because of the referring physician listed. Nine times out of ten payer denies one of the EKGs as a duplicate, we must follow up with notes, reconsideration forms, and this becomes extremely time consuming. I would appreciate any feedback in how to have these paid the 1st time. Payer typically the most troublesome UHC and Humana.

Medical Billing and Coding Forum