I am billing for a facility. When a surgery is done with a surgeon and a physician assistant do I bill for both the surgeon and the physician assistant or just the surgeon?
Thank you!:confused:
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Tag Archives: Question
CRC Certification question
Hello everyone,
I recently passed my CPC exam last month, and have a question about an additional certification.
When I was studying for my CPC, my instructor had recommended that I obtain a CRC certification to go with my CPC because it will eventually get to where it will be the norm to see someone with a CPC and CRC certification together, and that the industry is moving that direction.
I am looking for other opinions on this matter. How necessary is getting the CRC really? About how long after getting my CPC should I plan on obtaining it? Will this raise my chances of finding employment?
Any information you can provide will be greatly appreciated!
Thank you very much:)
CPT question
Have an orthopedic physical medicine & rehab physician that ordered an MRI under conscious sedation and went to the patients appointment at the hospital NOT his office and remained at the appointment for 90 mins. Wants to bill for his time, is there a CPT code that will work?
Podiatry Question 97597 and 11720
hello there,
I have a Medicaid pt who presents needing wound debridement of a wound on the bottom (plantar side of the left foot).
He also needs all of his toe nails to be debrided due to lack of sensation and the incurvation /deformity of the nails puts him at a
high risk. (He has CMTX G60.0, G62.89 G57.32 )
When I checked the Podiatry coding Companion it indicates that 97597 and 11720-11721 is a mutually exclusive edit.
So my question is can I bill for the nail debridement of the right foot?
And if so what is the best modifier? He has Caresource.
Thank you so much,
I appreciate your help,
Debbie Ashton
Cardiology ICD-10 Question
Does anyone know the ICD-10 code for ventricular vascular coupling syndrome with hypertension? The coder assigned I47.2, which is ventricular tachycardia, but that does not sound right to me.
cpma exam question
can someone tell what does the coding guidlines vs. carrier guidlines mean in the cpma exam structure section 3?
thank you
paulette m.
Anesthesia Time on Claims Question
This Maybe an Odd Question:
I have been coding for anesthesia for almost 12 years and we always report the anesthesia start and stop times with total time in minutes noted on the claim.
We also report the minutes in the required field.
I have been coding for anesthesia for almost 12 years and we always report the anesthesia start and stop times with total time in minutes noted on the claim.
We also report the minutes in the required field.
My question is: Is this necessary for payment? Are we wasting production time by always providing this information?
I have seen one source specifically state the start time and end time is to be reported on the claim.
However, all other sites I have scoured just say the CMS statement of how the time must be reported in actual minutes.
I only ask because we recently took over billing for a client and were reviewing older claims that nothing had the anesthesia times on, but they were paid!
This was shocking to me.
Thanks for your feedback! 😮
~Melissa, CPC
Global Package Question
If a patient is seen for a post operative visit (90 day global period) and the gynecology oncologist performs a simple cystometrogram after removing the foley catheter and instills 150cc for voiding study, is this separately billable or bundled with post op code?
Easy question yes or no answer please.
EASY QUESTION YES OR NO ANSWER PLEASE.
I’M A MEMBER OF AHIMA (NO CERT), AND MEMBER OF AAPC (CPC CERTIFICATION).
FOR THE AHIMA ANNUAL CONFERENCE CAN CEU’s TRANSFER TO AAPC? AND VICER VERSUS?
NEVER GOT A DIRECT ANSWER FROM EITHER.
I’M A MEMBER OF AHIMA (NO CERT), AND MEMBER OF AAPC (CPC CERTIFICATION).
FOR THE AHIMA ANNUAL CONFERENCE CAN CEU’s TRANSFER TO AAPC? AND VICER VERSUS?
NEVER GOT A DIRECT ANSWER FROM EITHER.
Seen in office, sent to ER seen again question
Here’s a scenario that I’m drawing a blank on what to do.
Patient came into the office (Urology) for scrotal swelling. Doctor examined patient – who was a new patient – and sent him to the ER for an emergent ultrasound to rule out abscess or torsion. He saw the patient in the ER later and ended up doing surgery. Both E&Ms got billed and, weirdly, they got paid. Then BCBS wised up and took back the money on the hospital charge. I know if the patient gets admitted from the office, you essentially build the office visit into the admission code, but what about this situation? Can we bill both? We’re querying the doctor to see if he planned to see the patient in the ER or if he was on call and got called in when the ultrasound was read. If it’s the latter, we might have a leg to stand on in appeal, but what if it’s the former?
Thanks!!!