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Here’s what the OIG is looking for, and Medicare carriers will be too. Did healthcare providers meet Medicare requirements and guidance when billing for psychotherapy services during the public health emergency (PHE) for COVID-19? The Office of Inspector General (OIG) conducted a nationwide audit to find out, and recently published their findings. It is not […]
The post Meet Documentation Requirements for Psychotherapy Services appeared first on AAPC Knowledge Center.
The robot in the next cubicle may become your favorite coworker. If you’ve trained Siri to call you Princess or talk to your Alexa like she’s one of your kids, you’re becoming a friend of artificial intelligence (AI). AI has been around for a few years, even affecting medical coding and billing, but it’ll have […]
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, along with 6 of 8 classmates due to a failed contract), and now bill review. Does Bill Review count as coding experience for CPT codes? I code only what I’m positive on and ask for help if i’m unsure. I’d love to code one day. I enjoy my current job, but am just curious if it is helpful as a whole to my career.Prior to receiving medical care, some potential patients may ask for a meet and greet visit with a physician. We expect this kind of “shopping around” when it comes to other types of purchases, and it’s become more common in healthcare. For example, many expectant parents now interview obstetricians and before deciding who they’d like […]
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Have you met Rik Salomon? If you frequent AAPC conferences and events, or if you make use of AAPC’s Facebook group to find answers to your professional questions, chances are you’ve run into at some point. So many AAPC members have benefited from Rik’s helpfulness and expertise that we asked him to tell us his […]
The post HEALTHCON Speaker: Meet Rik Salomon appeared first on AAPC Knowledge Center.
Alert your hospital leadership that CMS and other surveyors are not only looking for water management plans to control Legionella and waterborne pathogens, they may ask for governing board minutes or other proof that such plans are a priority.
OIG reviewed 191,118 Medicare paid distant-site telehealth claims, totaling $ 13.8 million, that did not have corresponding originating-site claims. The watchdog agency then reviewed provider supporting documentation to determine whether the services met Medicare’s requirements for reimbursement. 31% of the telehealth claims did not. Specifically:
24% were unallowable because the beneficiaries received services at nonrural originating sites
7% were billed by ineligible institutional providers
3% were for services provided to beneficiaries at unauthorized originating sites
2% were for services provided by an unallowable means of communication
1% was for a noncovered service
1% was for services provided by a physician located outside the United States
Understand Medicare telehealth requirements—including coverage, coding, and documentation rules—and ensure your telehealth program and claims comply.
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The post Medicaid and Medicare Telehealth Payments Fails to Meet Medicare Requirements appeared first on The Coding Network.
HPI: Establish Care. No other concern today. Has had flu shot.
Pt is here to establish care today. She is transferring care from another of our clinics. She denies any specific questions or concerns today.
Pt reports overall she has been fairly healthy. She had a hip surgery earlier in the year. Unfortunately, she fracture her wrist this year. Being treated for osteoporosis.
Patient states she is likely due for mammogram. She states it has been about 2 years since her last assessment. I do not see record on file.
Patient states that she has a 7 yr old daughter and a 9 yr old daughter. She reports both girls keep her very active and healthy. She has never smoked, is retired and Married. Does not use alcohol or recreational drugs.
ROS was extended
PE was expanded problem focused
Impression and recommendation:
Osteoporosis, patient is to continue treatment, when able increase weight bearing exercise.
Screening mammogram ordered.
Should this be billed out? Being an established patient from one of our other clinics, new to this provider, with no complaints. Yes, mammogram was ordered. No mention of followup.