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Click here for more sample CPC practice exam questions and answers with full rationale

Add These OIG Watch Items to Your Audit List

The government is keeping a close eye on how you are coding claims. Are you? The Office of Inspector General (OIG) is updating its Work Plan this month with new watch items that pertain to Medicare. At press time, there were five additional items the OIG intends to pursue in 2020. OIG Work Plan items […]

The post Add These OIG Watch Items to Your Audit List appeared first on AAPC Knowledge Center.

AAPC Knowledge Center

Injection for cash & carry items

I was hoping you could give me any directions or point to any policies to provide for our physicians.

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.

Medical Billing and Coding Forum

Top 5 Medical Patient Items

As a medical nurse, you have one of the greatest responsibilities among any profession out there. You are charged with the immense task of making sure that your patients are extremely well cared for at all times and are able to enjoy the absolute best levels of health and wellness possible. To help you with this ever important responsibility we have outlined the top five medical items that every patient should have access to.

Maternity Scrubs

The expecting mothers in your ward definitely deserve extra love and special attention. This includes making sure that they have properly fitting scrubs. Fortunately, you can find a variety of plus size scrubs and maternity scrubs that feature the perfect design for pregnant mothers. They include a larger belly area that extends out more than traditional patient scrubs which has proven to provide an immense amount of relief for pregnant mothers since the fabric does not create pressure on their stomachs. In addition, this more relaxed fit also helps to prevent them from experiencing any uncomfortable chaffing or rubbing. In addition, these maternity scrubs are also designed with a special fabric that effectively wicks away the sweat and helps mothers to enjoy optimal body temperatures. This is an especially welcome feature since pregnant mothers often go through such extreme body temperature fluctuations.

Non-slip Medical Shoes

Hospital and medical clinic floors are often very smooth and there is a high likelihood of spilled fluids, making the floors of these facilities potentially dangerous, especially for patients on the mend with less stability. Therefore, it has proven to be quite helpful for patients to have shoe covers or disposable slip on foot covers. These provide an ideal amount of traction for patients and are sure to help prevent them from slipping.

Daily Assistance Items

There are also plenty of daily assistance items that have a very positive impact on a patients experience under your care. For example, one of the most convenient items you can get is actually quite helpful for the both of you. Patient lift slings help you save your back when lifting patients while providing your patient with a good amount of support without causing any painful rubbing or chaffing. You can also find plenty of items that help your patients who are suffering from limited mobility, such as flexible sock aids that prevent a patient from having to strain or bend over too far.

Defibrillator

Another item that has definitely proven to be a lifesaver that should be well stocked in medical facilities is a defibrillator. Essentially, these items help restore a normal sinus rhythm to the patient through the use of safe and controlled electric shocks or impulses. And what has proven to be an extremely convenient and effective option for these items are defibrillators that are actually worn by patients at risk for sudden cardiac arrest (SCA). These come in the form of a vest that makes it much easier to insure a great deal of cardiac protection for your patient.

Greys Anatomy Scrubs

While it may seem a bit silly at first, thinking that Greys Anatomy scrubs would come up as one of the top items that a patient would need, it makes plenty of sense when you think about the power of positivity. Countless studies support how important it is for patients to maintain a positive mood, evidencing that this can indeed aid in a faster recovery time. The latest scrubs available through this line offer some very stylish and uplifting fashions that at the very least do help your patients to experience a more pleasant experience in your facility.

Alexander Sutton applies his direct experience in the medical supplies industry to help nurses, doctors and medical professionals enjoy the safest and most comfortable working experience possible. For more information, please visit Maternity Nursing Scrubs.

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Emedny, n.y. Medicaid denying second line items.

Does anyone else have a problem billing medicaid where it gets denied as below.

99213-25 (Paid)
17110 (denied as bundled)

But if billed as below:
17110 (Paid)
99213-25 (denied as bundled)

They’re apparently ignoring modifier 25s now and only paying the first line item… Medicaid didn’t really tell me why and to look at the medicaid up date new/bulletin of some sort that I have not found to exist.

Medical Billing and Coding Forum

OIG Adds Items to Web-based Work Plan

Effective June 15, 2017, the Office of Inspector General (OIG) now updates its Work Plan website monthly. The OIG Work Plan sets forth various projects — including OIG audits and evaluations that are underway or planned — to be addressed during the fiscal year and beyond by OIG’s Office of Audit Services and Office of […]
AAPC Knowledge Center

HPI items not addressed

Good Afternoon Everyone,

CC: medication refill

HPI: Patient here for medication refills. Pt has type 2 DM, HTN, HLD, GERD. Patient reports poor compliance with meds and out of BP meds about 2 wks.

Of note; Lisinopril, Metformin and issue of repeat prescription for Prilosec. Controlled on current medication dose and regimen.

Would you consider the following a true statement in regards to this scenario?

"You must document the conditions you didn’t address (eg; HLD and chronic pain not addressed during this encounter")

Thank you for your time
Lyn

Medical Billing and Coding Forum