Medical Coding Pro - How Do I Bill For Follow-Up Visits After the Global?

Published: Thu, 01/14/10


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How Do I Bill For Follow-Up Visits After the Global? - 2010-01-12 01:00:47-05
Tip: Make sure the ICD-9 coding & documentation support follow-up visits after the global. Question: Code 19101 has a 10-day global period, which means you cannot bill an E/M for anything related to that procedure within that time frame. If the patient continues to have follow-up visits outside the global period, should we then report the [...] Related articles:
  1. Global Billing: Document ‘Unrelated’ for Modifier 79 ServicesMACs are looking for ‘red flags’ to halt additional global period pay...
  2. These 8 Services Are Not Part Of The Global Surgical PackageIf you’re not reporting these services separately, you’re losing money....
  3. Pregnancy Global Coding Guide: 59400, 59510, 59610 & 59618 TipsGood news: You can report a higher-level (and higher-paying) E/M...


Read more: http://medicalcodingpro.com/wordpress/534/how-do-i-bill-for-follow-up-visits-after-the-global/



CMS’s Refusal to Pay Consults Makes MSP Claims a Headache - 2010-01-12 13:52:47-05
If you bill consults to private payers, good luck collecting the balance from Medicare secondary payers. Don’t even think about billing a consult to Medicare — even if it’s only a secondary payer claim. Medicare may have scratched consultations off of its list of payable services, but many other insurers did not follow suit. This leaves you in [...] Related articles:
  1. CMS Will Offer New Modifier to Denote Admitting Physician on ClaimsPop the champagne cork & get ready for brand new...
  2. Consultation 5 R’s Miss 1 element, and invite auditors to check out...
  3. VaVaVoom: V-Codes Give Your Claims a Smoother RideSo what’s the deal, exactly, with V codes? Here are...


Read more: http://medicalcodingpro.com/wordpress/537/cms%e2%80%99s-refusal-to-pay-consults-makes-msp-claims-a-headache/



Payer Update: UHC Sticks With Consult Codes - 2010-01-12 13:58:04-05
Check with Medicaid plans, insurer warns. You can breathe a sigh of relief — one major payer will stick with 99241-99255. UnitedHealthcare (UHC) commercial plans will make no change in payment for consultation codes (99241-99255) at this time, according to a UHC e-mail alert. “Physicians may continue to submit claims for these services, and will be reimbursed according to United-Healthcare payment policies.” Beware: One Medicaid [...] Related articles:
  1. Medicare’s Consult Rule Trickle Down Effect And what it means for pediatric practices. A report...
  2. Payer Update: NGS Directives Vs. Proper Skin Lesion CodingIgnore the LCD and stick with what you know about...
  3. Pssssssst. Payer Report Cards Are OutIf you know your payers’ strengths and weaknesses, you’re better...


Read more: http://medicalcodingpro.com/wordpress/536/payer-update-uhc-sticks-with-consult-codes/



10060 Won’t Wash for Some I&Ds - 2010-01-12 14:45:45-05
Careful: A pilonidal cyst I&D is a separate animal. Question: A patient presents to the ED reporting pain in her spine. During the exam portion of a level-three E/M, the physician discovers that the painful area is red, and slightly warm to the touch. The patient also has a low-grade fever that she says she noticed about [...] Related articles:
  1. Know What Separates FBR From E/M or Lose $80 in Pay Here’s why ‘incision’ with non-scalpel instrument could be an...
  2. Should You Code Presenting Symptoms Along With Dx? Question: An established patient complains of trouble breathing and...
  3. Coding Ovarian Cyst Removal: Are You Making These 4 Mistakes?Here’s how you could potentially add $184 to your bottom...


Read more: http://medicalcodingpro.com/wordpress/535/10060-won%e2%80%99t-wash-for-some-ids/



ICD-9 Sequencing: Ace Late Effects Diagnosis Coding With This Flow Chart - 2010-01-14 01:12:07-05
Combination codes for stroke late effects won’t always cover all the details. Proper sequencing is essential when coding for late effects, so use this handy chart to sequence your codes correctly every time. Chart provided by Lisa Selman-Holman, JD, BSN, RN, HCS-D, COS-C, consultant and principal of Selman-Holman & Associates and CoDR — Coding Done Right in Denton, Texas. For easy [...] Related articles:
  1. Flow Chart: Tame the Diabetes Diagnosis Coding Beast When coding for diabetes (250.xx), the fourth and fifth...
  2. Our Flow Chart Does the Incident-To Decision Making for YouSuppose your nonphysician practitioner sees a patient on a day...
  3. Flow Chart: Select the Correct Pediatric Critical Care CodeThis flow chart solves location, transport, age dilemmas to land...


Read more: http://medicalcodingpro.com/wordpress/540/icd-9-sequencing-ace-late-effects-diagnosis-coding-with-this-flow-chart/