Medical Coding Pro - AMA Chimes In On How to Report Consults for Non-Medicare Patients

Published: Mon, 02/08/10


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AMA Chimes In On How to Report Consults for Non-Medicare Patients - 2010-02-04 16:31:47-05
Beware: Don’t use the CMS consult crosswalk for billing purposes. You may be seeing light at the end of the tunnel. The AMA just published an article to clarify the use of the consultation codes for non-Medicare patients, and talks about their efforts to get CMS to delay their new policy. You can find the article [...] Related articles:
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  2. CMS’s Refusal to Pay Consults Makes MSP Claims a HeadacheIf you bill consults to private payers, good luck collecting...
  3. Proposed 2010 MPFS: $26 More for ‘Welcome to Medicare’ ExamCMS welcomed health care providers to an July 9 open...


Read more: http://medicalcodingpro.com/wordpress/635/ama-chimes-in-on-how-to-report-consults-for-non-medicare-patients/



Newborn Status Change Means Deciding Between Hospital Care Codes - 2010-02-04 16:33:26-05
Sort your normal, sick and intensive care options. Choosing the appropriate codes for initial newborn services can be difficult due to the large number of available codes and gray areas between the spectrum of illnesses. If you find yourself getting tripped up by the multiple categories, read on for expert tips and real-world examples that [...] Related articles:
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  2. Give Your Newborn Coding Skills a Checkup This directive stops the sending physician from committing an...
  3. Answers To Your Hospital Admission, Subsequent Care Coding Questions Revenue Booster: Here’s when you can claim a consult...


Read more: http://medicalcodingpro.com/wordpress/634/newborn-status-change-means-deciding-between-hospital-care-codes/



Why Is the Co-Pay I Collected Short By $20? - 2010-02-06 16:36:51-05
Verify co-pay early to save time, money Question: A patient came to our office for a routine exam with the same insurance card she’s had for years. We charged her the standard copay of record. Then I found out her employer changed the terms of the insurance, so the copay she paid was short by $20. [...] Related articles:
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  3. Front Desk Data Tracking ChecklistClean data means more than just a healthy bottom line....


Read more: http://medicalcodingpro.com/wordpress/639/why-is-the-co-pay-i-collected-short-by-20/



Oncology: Update Your PET Claims With This New Guidance - 2010-02-07 21:22:00-05
Here are the requirements the exam must meet, according to Medicare. If your PET claim meets certain requirements, you don’t need to append modifier Q0 (Investigational clinical service provided in a clinical research study that is in an approved clinical research study), according to MLN Matters article MM6753. Effective for dates of service on or after Nov. [...] Related articles:
  1. Which PET Code Is Best for Brain Images? Question: Which CPT code is appropriate for PET performed...
  2. Oncology Coding 2010 Update: 3 New Lab Services CodesWatch for your chance to replace 86316 with more specific...
  3. ICD-9 Update: Take Your Oncology Coding Specificity Up a Notch With 7 2010 Changes Tumor lysis syndrome is getting its own code —...


Read more: http://medicalcodingpro.com/wordpress/640/oncology-update-your-pet-claims-with-this-new-guidance/



Oncology Coding: Update Your PET Claims With This New Guidance - 2010-02-07 21:22:00-05
Here are the requirements the exam must meet, according to Medicare. If your PET claim meets certain requirements, you don’t need to append modifier Q0 (Investigational clinical service provided in a clinical research study that is in an approved clinical research study), according to MLN Matters article MM6753. Effective for dates of service on or after Nov. [...] Related articles:
  1. Which PET Code Is Best for Brain Images? Question: Which CPT code is appropriate for PET performed...
  2. Oncology Coding 2010 Update: 3 New Lab Services CodesWatch for your chance to replace 86316 with more specific...
  3. ICD-9 Update: Take Your Oncology Coding Specificity Up a Notch With 7 2010 Changes Tumor lysis syndrome is getting its own code —...


Read more: http://medicalcodingpro.com/wordpress/640/oncology-coding-update-your-pet-claims-with-this-new-guidance/