They read it remotely in the CardioPulmonary Dept.
Should the place of service be ER? or Outpatient (Cardiopulmonary Dept where it’s read?)
Thanks.
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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 rationaleThey read it remotely in the CardioPulmonary Dept.
Should the place of service be ER? or Outpatient (Cardiopulmonary Dept where it’s read?)
Thanks.
Our pediatric Oncology practice has an ARNP who will see patients the same date as the Physician. They both document their own note. The oncology patients usually reach level 5’s by risk and complexity. So the physician bills 99223 (for example). Then later in the day the ARNP will see the patient, a new problem has come up. It seems there is nothing to bill for the additional work of the ARNP except prolonged service.
I have performed an exhaustive search of Medicare and MLM information to find out what documentation is ok for billing PS codes for the ARNP’s visit in addition to the physicians visit. I am aware of the time threshold for billing prolonged service.
Is anyone aware of any guidance for billing prolonged services with a split/shared visit? Medicare does say the prolonged service codes are applicable to split/shared visits but no guidance is offered on how to document or code.
The split/shared E/M visit rule applies only to selected E/M visits such as these in the hospital settings:
hospital admissions (99221-99223)
follow-up visits (99231-99233)
discharge management (99238-99239)
observation care (99217-99220, 99234-99236)
emergency department visits (99281-99285)
prolonged care (99354-99357)
hospital outpatient departments (provider-based visits) (99201-99215)
Thank you,
Louise
Does anyone know where I can find this information?
Jennie Clark
Valid claims submitted by physical therapists (PTs) in private practice are being denied by some Part B Medicare Administrative Contractors (MACs), according to the Centers for Medicare & Medicaid Services (CMS). These claims are for the professional component (PC) or global code for certain diagnostic services involving electromyography (EMG), nerve conduction velocity (NCV), and sensory-evoked […]
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Please advise………..thanks!
The lab is not affiliated with a hospital, but it is under the direction and control of a physician. Is this a case of the POS being wrong, or should the AR department prepare standard documentation and be ready to file lots of appeals?