Don’t expect Medicare to reimburse SET unless you meet all the requirements. The Centers for Medicare & Medicaid Services (CMS) considers supervised exercise therapy (SET) reasonable and necessary for Medicare beneficiaries with intermittent claudication (IC) for treatment of symptomatic peripheral artery disease (PAD), but there are many requirements for coverage. A National Coverage Determination (NCD) for SET, effective May […]
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Laureen shows you her proprietary “Bubbling and Highlighting Technique”
Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page 2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers Click here for more sample CPC practice exam questions and answers with full rationaleTag Archives: Place
Place of service
Locum Tenens & Place of Service
I need guidance in regards to Locum Tenens billing. Here is the the scenario
1) Hospital Base Pathology Group
2) Services are rendered at ABC Hospital. They also have specimens from another hospital (123 Hospital) sent to ABC to be processed.
3) One Pathologist Leaves
4) A Locum Tenens was hired to perform the work for the provider who left however; only for the work that comes from the other hospital (123 Hospital)
5) The Locum does not have hospital privileges at ABC Hospital and that is why specimens were instead shipped to AAA Hospital to be processed.
(Note: The Locum has his personal business at AAA hospital, but does not want this temporary work to be mixed into his business.)
Question:
a) Is this Locum arrangement even valid?
b) Can we use the Pathologist who left add Q6 modifier and bill under AAA Hospital location since that is where it’s being processed?
We have been told to use the ABC hospital location where the group is and Pathologist left from.. But I don’t think this is right. The Locum is not there working at that facility.
I tried finding this on the CMS manuals, but unable to find specific verbiage to support why it shouldn’t be done this way.
Thank you,
GZ
Place of service question
Any help would be greatly appreciated!:)
registering new place of service with Medicare when opening new office
Foley Catheter placed in place of g-tube
"G-tube was pulled out and no able to be reinserted after attempts by ER staff. After 1 attempt a temporary 16 French foley catheter was place in the G-tube area in satisfactory position."
I am not sure if I need to focus on the G-tube being replaced and that the foley is serving the same purpose (more limited of course) for the time being. Would you use 43760?
Any feedback would be very helpful!
Thank you
Kelly, COC
Am I getting this External Cause, Place, Activity, Status
Patient involved in an automobile accident where he was the unrestrained driver of a vehicle hit by a minivan on a business street.
I have V43.64XA, S01.82XA, Y92.414
The S code is for the other things but in terms of the external cause and all that, what am I missing here.
Thanks anyone….
Ultrasound Technician Schools and Other Medical Assistance Schools in the Right Place at the Right Time
Even though those unemployment figures just donât  seem to want to budge, ultrasound technician schools are one of the few places providing dependable job placement. Ultrasound is one of the few sectors in the job market that is strong and getting stronger. Other health care jobs are going unfilled as well â which explains the increase in students for medical billing and coding school.
However, many potential job applicants get discouraged, thinking that the educational and training requirements for one of these positions is beyond their reach. Nothing could be further from the truth.
Anyone who has ever had a child or who has known someone who was pregnant is well aware of the effect that the science of ultrasound has made on prenatal medicine. In addition to making it possible for parents-to-be to get a sneak peak at their child before he or she is  born, ultrasound is also used to assist with the diagnosis of other conditions, including those affecting the liver, kidneys, spleen, gallbladder, pancreas, brain and heart.
As an ultrasound technician, your primary duties will involve utilizing specialized equipment in order to direct sound waves into certain parts of the patientâs body. With the help of this technology, you will develop images that are created from the reflected echoes of these sound waves. By videotaping and photographing these images and providing them to a physician, the physician can then examine the internal organs of the patient in order to determine a diagnosis and a proper treatment plan.
Those who are interested in a career in this field must first complete a program through ultrasound technician schools. Students will learn about the technology behind the equipment that is being used, as well as how to look for the subtle visual cues that will help them differentiate between the healthy areas and those that are not.
If youâre interested in pursuing a career in the healthcare industry, but you donât want to be directly involved with caring for patients, you might want to consider attending medical billing and coding school. As a medical billing and coding specialist, you will be part of your employerâs medical records and health information team. In short, your job will involve coding patient medical records in order to ensure the patients and their insurance companies are billed properly.
In order to be successful in the industry, it is important to complete a program through a medical billing and coding school. You will learn about the specialized coding that is used in the field. Depending upon the place of employment, the medical billing and coding specialist might also need to be familiar with several different coding systems, including those that are used in physicianâs offices, ambulatory settings and long-term care facilities.
To pursue a career in this field, it is generally necessary to obtain a minimum of an associate degree from a medical billing and coding school. Many employers also require certification in the field. Several organizations offer certification medical billing and coding, including the American Academy of Professional Coders (AAPC), the Board of Medical Specialty Coding (BMSC) and the Professional Association of Health care Coding Specialists (PAHCS).
About the Author
Shannon Braun has been working in the online marketing industry for the past three years. She has over five years of freelance writing experience, and has written on a variety of topics including ultrasound education and medical billing and coding school.
place of service by CPT
Is there such thing as a list of billable places of service by CPT code? We have one that is denying by some carriers for inappropriate place of service. CPT 26432. We billed it as an in office service. The carrier denied, and stated they are following CMS guidelines but I can’t find any reference.
Thanks
Appeal for wrong place of service auth that PCP obtained
Thank you kindly,
Chelsa T. CPC, CPB