Medical Coding Pro - CMS Speaks: Weigh Your 2-Payer Consult Coding Options

Published: Mon, 03/22/10


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CMS Speaks: Weigh Your 2-Payer Consult Coding Options - 2010-03-18 09:21:55-04

In MSP cases, non-consult code for both payers may be best.

If you have payers who didn’t play follow-the-leader with Medicare in cutting out consult codes, you have a dilemma on your hands. You have to decide what to do…



Read more: http://medicalcodingpro.com/wordpress/756/cms-speaks-weigh-your-2-payer-consult-coding-options/



Separate Sleep Study Coding from Your H&P Coding - 2010-03-19 01:20:07-04

Don’t separately report a cursory H&P from the sleep code.

Question: If a nurse practitioner (NP) performed an H&P (history and physical exam) or a subsequent visit with a patient prior to a sleep study, can you bill the H&P



Read more: http://medicalcodingpro.com/wordpress/759/separate-sleep-study-coding-from-your-hp-coding/



Senate Votes to Delay Medicare Pay Freeze Until October — But It’s Not Final Yet - 2010-03-19 02:06:41-04
Find out what steps Congress must take to delay the much feared 21.2 percent pay cut.

If a new bill — already approved by the Senate — moves forward, you could have another six months before the 21.2 percent…



Read more: http://medicalcodingpro.com/wordpress/758/senate-votes-to-delay-medicare-pay-freeze-until-october-%e2%80%94-but-it%e2%80%99s-not-final-yet/



Surgical Modifiers: Protect Yourself From Instant ‘PC’ Claim Denials - 2010-03-19 02:25:58-04

Don’t let ‘wrong surgery’ modifier mistakes stall your reimbursement.

You use modifier TC for the technical component of a test. So logically, you should use modifier PC for the professional component, right? Wrong. But many coders are making that mistake…



Read more: http://medicalcodingpro.com/wordpress/757/surgical-modifiers-protect-yourself-from-instant-%e2%80%98pc%e2%80%99-claim-denials/



Consider Observation Codes for Patients In Apparent Limbo - 2010-03-22 02:39:40-04

Medicare clears up confusion surrounding ‘8-hour rule.’

Reporting your FP’s observation services can be tricky business, as there is confusion about how, when, and why to choose from one observation code set or another.

Add to that a common misconception…



Read more: http://medicalcodingpro.com/wordpress/764/consider-observation-codes-for-patients-in-apparent-limbo/