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Tag Archives: Physician
Florida Physician reports a HIPAA Breach that could affect over 60K patients
Authorities at doctor administrations merchant EmCare in Florida have advised 60,000 patients, representatives and contractual workers about a cybersecurity occurrence that may have uncovered their own data. An unapproved individual had the capacity to get to various worker email accounts that contained clinical information and statistic data, alongside driver’s permit and Social Security quantities of certain people, as indicated by an examination.
The post Florida Physician reports a HIPAA Breach that could affect over 60K patients appeared first on The Coding Network.
Patient Left Without Seeing Physician
If a patient is triage by the nurse but does not stay to see the physician nor receives labs, etc. can we bill for an ED Level 1 visit? I am getting conflicting information from in-house coders and our outside coding vendor. Any guidance you can provide is appreciated. Also, if you have a link to what is correct either way, even more appreciated.
Stuart Physician Convicted of 23 Counts of Health Care Fraud
Sheetal Kanar Kumar, M.D., 48, in the past of Stuart, Florida, was discovered blameworthy by a jury of submitting twenty-three tallies of social insurance misrepresentation (Case No. 18-14063-CR-Marra). Dr. Kumar is planned to be condemned on April 19, 2019 at 10:00 a.m., by U.S. Area Judge Kenneth A. Marra in Fort Pierce.
The post Stuart Physician Convicted of 23 Counts of Health Care Fraud appeared first on The Coding Network.
Choosing diagnosis codes for PT/OT/ST? – physician referral vs therapist’s evaluation
I work for a therapy company that provides services in various settings (via contracts) and am working toward my CPC certification (been in billing for years all over the specialty spectrum). I notice that some locations code encounters strictly based off of the physician’s referral. Is this an accurate practice? In reviewing the orders versus the therapist’s evaluations, I see a difference quite often as there is usually a medical diagnosis and then also a treatment diagnosis. I guess you could say I’m thoroughly confused at how therapy encounters are supposed to be coded because of what I am seeing compared to what I am studying in the books and guidelines.
Any advice or guidance would be much appreciated!
Thank you,
Lynn
Physician Documentation Prior to Chemo
Does anyone have documentation (CMS preferably) that states what must be documented by the physician prior to chemotherapy infusions? Example, plan of care, form of consent etc.
Physician orders for laboratory tests
Clinic is stating they placed an order for urinalysis ‘digitally’ so they don’t need to submit documentation for the UA. I’m unable to code it as there is no diagnosis or intent for the procedure indicated. What are the documentation requirements for a physician ordered laboratory test? Shouldn’t there be a document in the medical record that corresponds to the ‘digital’ order?
“Same Physician” May Not Mean What You Think It Does
If you’re a coder, you’ve probably seen the term “same physician” used throughout the CPT® codebook: for example, the descriptor for modifier 25 stipulates, “Significant, separately identifiable evaluation and management service by the same physician or qualified healthcare provider on the same day of the procedure or other service.” But here’s the thing: Under Center’s […]
The post “Same Physician” May Not Mean What You Think It Does appeared first on AAPC Knowledge Center.
Build Physician Trust to Medical Code from Home
When a physician has a bad experience with a coding agency or past work-at-home employee, it can put a damper on your credibility when seeking their employment or contract work. The key to overcoming this obstacle, according to Melody S. Irvine, CPC, CPB, CEMC, CPC-I, CPMA, CFPC, CMRS, CCS-P, owner of Career Coders, LLC, is […]
The post Build Physician Trust to Medical Code from Home appeared first on AAPC Knowledge Center.
Culture coding – lab or physician?
Patient came to the office for a wound culture. I have code 87070 or 87075 depending on the results but, who gets to bill that code? The lab or the physician, or both?
Thanks!