If a wound requires a complex repair for one piece of it, plus a graft for the remaining little piece that couldn’t be closed with the complex repair, can you bill both?
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Tag Archives: plus
E&M plus Radiology on same DOS
Hi,
I am doing an audit on modifier 25 use and came across a finding that the PCP is adding modifier 25 to the E&M when x-rays are done the same DOS. I have been told that it was due to them both billing under the same TIN. I always believed that the modifier is only needed (per CCI) if the service is by the same TIN AND Specialty. I would appreciate any feedback, as we definitely don’t want to bill with an unnecessary 25 modifier.
TIA,
Shelly L. Kubacki, BS, MPA, CPC, CPMA
E&M plus Radiology on same DOS
Hi,
I am doing an audit on modifier 25 use and came across a finding that the PCP is adding modifier 25 to the E&M when x-rays are done the same DOS. I have been told that it was due to them both billing under the same TIN. I always believed that the modifier is only needed (per CCI) if the service is by the same TIN AND Specialty. I would appreciate any feedback, as we definitely don’t want to bill with an unnecessary 25 modifier.
TIA,
Shelly L. Kubacki, BS, MPA, CPC, CPMA
ESRD due to DMII plus HTN in the mix
Hi everyone!
I am wondering how best to code this little sticky wicket.
The doctor has give this patient a stated primary of ESRD due to DMII.
The doctor has also included HTN in his mix of active dx without any relation noted to any other dx.
So, would my coding sequence then be:
E11.22, N18.6, and an I12.0 because of the assumed relationship between the ESRD and HTN? Or do I ignore the assumed relationship because of the already stated causal one between the ESRD and the DMII and just code the HTN as a separate entity? And, if I use the I12.0 should I just drop the HTN as I would if it was the only code noted since it is included in the code?
OH. EM. GEE!!
Thanks so much!
Lynn
Medicare Plus Blue coding
I want to know when billing medicare plus blue for KOH, do i use the 87220 cpt code or do i use the Q0112 HCPCS code?
Medical Transcription Education Plus Training
Medical Transcription also is identified as just MT. Medical transcription is a component of allied health profession which addresses a process of converting voice-recorded information and data as dictated by medical professionals and health care authorities, into a written text file format. Fundamentally Transckiptionists can transfer verbally dictated client information into written text documents.
Medical Transcription is surely important talent in the current marketplace. Which therefore tends to make medical transcription education and training extremely important. A lot of doctor’s offices and other wellness establishments employ full time MTs, but there are also quite a few transciptionists who work from home and telecommute. Telecummuting workers and independent contractors are becoming more and more popular.
Medical transcription training is comprised usually of having certification by means of diploma or degree programs, distance learning, or even on the job coaching. A few hospitals and overall health businesses offer this training butthe chances are higher they’ll simply hire employees already possessing the needed expertise.
Operating in medical transcription leads to a competence in the field of medicine terminology. It is typically people that have good understanding and in fact mastery of the English language who are adept at medical transcription.
For the most extensive information and facts on medical transcription training go to hpisum.com. The Health Profession Institute and there medical transcription training are essentially the most complete recourse for anyone seeking to enter the industry.
The Health Profession Institute is usually a excellent option for physicians and those in hospital administration looking to train and train medical transcription by themselves.They are a modest but extremely influential and highly regarded publishing organization within the medical information discipline. Thousands of medical transcriptionists throughout the English-speaking planethave learned medical transcription with their recourses. The SUM Method for Medical Transcription Training, developed by Health Professions Institute (HPI), stands out as the foremost medical transcription education program utilized in schools, private hospitals, and transcription companies throughout the English-speaking world. The SUM Program is also accessible to people who are considering self-directed study. So have a look at their website
Hpisum provides you Medical Transcription Education and what kind of training you can expect. To Know more about Medical Transcription Training please Visit us at http://www.hpisum.com/
Related Medical Coding Articles
J3590 Medicare Plus Blue Rejections
Is anyone else receiving rejections for J3590 (Avastin) injections? What are you putting in Box 19? In fact Eylea and Ozurdex are being rejected also. Any help would be appreciated. I have talked to our BCBSM Rep and the Provider line. Both refer me to the RC Assist website. We are following the RC Assist and are still getting rejections. This recently started happening. Any suggestions??
Thank you for your help,
Sue B
pill cam plus egd
i have a dr that wants to have a patient swallow a pill cam in the office and then go over to our procedure center to push the pill cam through. Any ideas on how this would be billed? I know i would use the 91110 but do I bill a 43235? Any information would be greatly appreciated.
Medical Coding – Plus Points of Medical Coding Outsourcing
Medical coding service is a grand outsourcing field in healthcare industry. Practitioners and hospitals are outsourcing to get various benefits. Professionals are giving more focus and attention to medical coding for easy and quick reimbursement. They are outsourcing to make their clinical staff free from non-core activity and increasing efficiency in clinical task.
Accurate coding is in high demand because insurance companies either government or private only accept the claim if codes are correct. If hospitals or individuals want precise coding, they have to hire professional coder for such. One can also get benefit of all such by outsourcing the task to specialized company.
Clinics and hospitals are utilizing their clinical staff for coding. As a result, they have to suffer from staff inefficiency, low reimbursement and turn-around time. The outsourcing can improve the claim payment turn-around time and the efficiency of clinical staff. The expert at coding company can assign various codes to disease, symptoms and process quickly and effectively.
Through outsourcing medical coding, one can get various advantages:
Huge Cost Benefit: Healthcare provider can save up to 60% of cost by choosing appropriate outsourcing company to complete task. You can directly save the cost of staffing, infrastructure, technologies and stationery. One can also get the solution at cutting rates so you can get double benefit by outsourcing.
Correctness and Trustworthiness: The remote companies have certified or experienced medical coding specialists who manage the accuracy. They are using latest technologies to improve the speed. The outsourcing partners are following HIPAA rules and regulations so there is completely trustworthiness.
Transparency: The medical coding companies do follow the complete transparent method while delivering the output. Most of the reputed companies maintain the transparency. It will help them to gain trust and reliability from the clients.
There are numbers of medical coding companies available in the market to fulfill your requirements. Make sure that you are choosing the one which fits into the criteria. Before outsourcing medical coding requirements to particular company, you must go through whole profiles. You can also ask colleagues for better company. You can also ask for few hours free to check the efficiency of company.
Ray Charles likes to write on medical related topics. He is currently affiliated with Medical Billing-India, a company providing medical billing and medical coding
Find More Medical Coding Articles
Hemorrhoid excision, plus
I can’t seem to find if I can bill these two codes together. Surgeon performed an excision of two external hemorrhoids, one at 3:00 and the other at 9:00 along with an anoscopy to excise a rectal polyp. I was looking at cpt code 46250 and 46615. One is external and the other with scope. I always get confused on the whole column thing. I could not find anything to guide me. Can anyone direct me on the right path?? Please
Opinions are welcome also.
Opinions are welcome also.