I am coding for an oral surgeon that does Behavior Management for Infant oral surgery. I need to know what CPT code to use for the Dental Code D9920?
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Tag Archives: Oral
Billing Oral Dexamethasone in office
My physicians are considering giving oral Dexamethasone to our asthma patients here in the office. I have found HCPCS code J8540 for this. Does anyone have any experience billing oral Dexamethasone in office? Are the carriers reimbursing for this or looking at it as included in the visit? Any information would be helpful.:)
Q&A: The importance of oral care
In January, Trina Crow, RN, MJ, associate project director at The Joint Commission, wrote in a blog post that long-term care facilities need to pursue oral care policies more intently. While neither The Joint Commission nor CMS cite hospitals or critical access hospitals for oral care deficiencies, Crow writes that it’s still an essential part of care.
“The statistics on this are alarming,” she wrote. “According to a study published in the Journal of American Geriatrics Society, on any given day, 84%–100% of [long-term care] residents don’t receive any oral care. Furthermore, only 27% of the long-term care organizations in the study had oral care supplies and the average tooth brushing duration was only 60 seconds. Many care providers didn’t even change their gloves between helping the resident use the restroom and brush teeth.”
Along with tooth and gum disease, poor oral care is linked to pneumonia and endocarditis (an infection of the heart’s inner lining). Barbara Quinn, MSN, RN, ACNS-BC, a clinical nurse specialist with Integrated Quality Services at Sutter Medical Center, Sacramento (SMCS), and co-author of one of the few studies and articles on oral care programs and pneumonia prevention in hospital settings. Her research showed that by putting an oral care program in place, hospitals can prevent 40%–60% of non-ventilator hospital-acquired pneumonia (NV-HAP), which accounts for 62% of all hospital-acquired pneumonia.
Free quiz: ICD-10-CM codes for diseases of the oral cavity and salivary glands
Test your knowledge with this week’s free quiz, which focuses on ICD-10-CM codes for diseases of the oral cavity and salivary glands. (View)
Medical Billing Codes Key to Fraud Case Against 2 Erie Oral Surgeons
John F. Lehrian, who is retired, and David E. Palo, of what was known as Lehrian & Palo Oral Surgery, 100 State St., pleaded not guilty to federal charges that they the defrauded insurance companies of more than $ 323,000. They were indicted July 12 on charges of health care fraud. The government is alleging Lehrian and Palo charged the insurance companies for pulling teeth using surgical extractions. Those extractions, the government said, were unnecessary and more expensive than what should have been the necessary procedures for removing the teeth.
A grand jury in Erie indicted the two separately. The U.S. attorney’s office is alleging their bills were fraudulent because they never needed to surgically extract many teeth — 26 for Palo and 20 for Lehrian. The government said nine of the teeth Palo said he pulled were baby teeth, and that some of the teeth Lehrian said he pulled were decayed and did not need surgical extraction for removal.
You can read the full article on GoErie.com here.
The post Medical Billing Codes Key to Fraud Case Against 2 Erie Oral Surgeons appeared first on The Coding Network.
Medical Billing Codes Key to Fraud Case Against 2 Erie Oral Surgeons
John F. Lehrian, who is retired, and David E. Palo, of what was known as Lehrian & Palo Oral Surgery, 100 State St., pleaded not guilty to federal charges that they the defrauded insurance companies of more than $ 323,000. They were indicted July 12 on charges of health care fraud. The government is alleging Lehrian and Palo charged the insurance companies for pulling teeth using surgical extractions. Those extractions, the government said, were unnecessary and more expensive than what should have been the necessary procedures for removing the teeth.
A grand jury in Erie indicted the two separately. The U.S. attorney’s office is alleging their bills were fraudulent because they never needed to surgically extract many teeth — 26 for Palo and 20 for Lehrian. The government said nine of the teeth Palo said he pulled were baby teeth, and that some of the teeth Lehrian said he pulled were decayed and did not need surgical extraction for removal.
You can read the full article on GoErie.com here.
The post Medical Billing Codes Key to Fraud Case Against 2 Erie Oral Surgeons appeared first on The Coding Network.
Medical Billing Codes Key to Fraud Case Against 2 Erie Oral Surgeons
John F. Lehrian, who is retired, and David E. Palo, of what was known as Lehrian & Palo Oral Surgery, 100 State St., pleaded not guilty to federal charges that they the defrauded insurance companies of more than $ 323,000. They were indicted July 12 on charges of health care fraud. The government is alleging Lehrian and Palo charged the insurance companies for pulling teeth using surgical extractions. Those extractions, the government said, were unnecessary and more expensive than what should have been the necessary procedures for removing the teeth.
A grand jury in Erie indicted the two separately. The U.S. attorney’s office is alleging their bills were fraudulent because they never needed to surgically extract many teeth — 26 for Palo and 20 for Lehrian. The government said nine of the teeth Palo said he pulled were baby teeth, and that some of the teeth Lehrian said he pulled were decayed and did not need surgical extraction for removal.
You can read the full article on GoErie.com here.
The post Medical Billing Codes Key to Fraud Case Against 2 Erie Oral Surgeons appeared first on The Coding Network.
Medical Billing Codes Key to Fraud Case Against 2 Erie Oral Surgeons
John F. Lehrian, who is retired, and David E. Palo, of what was known as Lehrian & Palo Oral Surgery, 100 State St., pleaded not guilty to federal charges that they the defrauded insurance companies of more than $ 323,000. They were indicted July 12 on charges of health care fraud. The government is alleging Lehrian and Palo charged the insurance companies for pulling teeth using surgical extractions. Those extractions, the government said, were unnecessary and more expensive than what should have been the necessary procedures for removing the teeth.
A grand jury in Erie indicted the two separately. The U.S. attorney’s office is alleging their bills were fraudulent because they never needed to surgically extract many teeth — 26 for Palo and 20 for Lehrian. The government said nine of the teeth Palo said he pulled were baby teeth, and that some of the teeth Lehrian said he pulled were decayed and did not need surgical extraction for removal.
You can read the full article on GoErie.com here.
The post Medical Billing Codes Key to Fraud Case Against 2 Erie Oral Surgeons appeared first on The Coding Network.