CPT® codes for psychological and neuropsychological tests include tests performed by technicians and computers (CPT codes 96102, 96103, 96119 and 96120) in addition to tests performed by physicians, clinical psychologists (CPs), independently practicing psychologists (IPPs), and other qualified nonphysician practitioners (NPPs). The payment amounts for tests performed by a technician or a computer are adjusted […]
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Tag Archives: Score
Score Big in MIPS by Providing CMS with Feedback
Want to earn some Brownie points with your clinicians? Let them in on a little-known opportunity to earn bonus points in the Improvement Activities performance category under the Merit-based Incentive Program (MIPS). First, Some Background The Improvement Activities performance category is one of four performance categories in MIPS. Out of a final score of 100, […]
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Mohs AUC Score
Ok….So I am very aware of what the AUC score is and how it is utilized in the Mohs/Dermatology world. My only concern/question is, why there are only a few Providers who actually "implement" this guideline when recommending Mohs as treatment plan (such as my 8 Providers)?? It is NOT recognized from a billing standpoint and holds NO leverage on appeals, chart reviews, audits or medically necessary documentation for Insurance payments. But yet, few Providers refuse to do Mohs on "yellow and red zones" and almost the rest of my County Mohs Providers will perform Mohs for any size, any location and any biopsy proven diagnosis (even In Situ cases that are superficial) without hesitation. Just wanted to get some thoughts from anyone willing to share. Thanks in advance!!
**I am also in Florida, if location matters 
HCC Risk Score Calculation.. please help!
Hi,
I am getting ready for the CRC exam. I am having trouble understanding where some of the numbers used to calculate risk scores are coming from. For example, where do I find the demographic factor scores? Where do I find the diagnosis specific score based on the HCC category. For example, what’s the value given to the HCC 40? where do I find these values??
Please help,
Thanks!
Fetal Biophysical Profile Score
I’m coding for a BPP w/o NST and I need some opinions regarding part of the narrative. The test was ordered due to "marked decrease in fetal movement at 30 wks gestation" and the provider documented this:
IMPRESSION:
1. Biophysical profile score is 8 out of 8.
2. Fetal heart rate recorded at 110 bpm at both beginning and end of the exam for this 30-week gestation period. Clinical correlation is suggested.
I coded Z03.79 and Z3A.30, but am being told I should include an additional code for the fetal heart rate issue "because he documented it". :confused: