Tips for getting reimbursed "Combined preventive services and problem visits"
 For years and years we have worked with providers on this particular topic. No matter how many times we write articles about it or provide a written guidance to one of our clients we still find we are asked tons of questions about his tricky situation and how providers can be assured they are doing thing correctly.
Many times during the course of a routine, preventive care visit, physicians discover a problem that must be treated during the visit. Now remember there are several scenarios that can change the overall way you bill for these services but for the purpose of this article we are going to consider the visit a true annual physical where a moderate problem is identified requiring the provider to spend additional time engaged with the patient performing the "Key" elements of the E/M services. | Read the full article
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FREE AUDIO CONFERENCE: Synergy360 Telecoaching 2008 EMR's: Soon physicians may not have a choice
 Steve Verno will discuss EMR's and talk about the areas of "Delegates seek tax credit to help pay for EMRs, AMA policy aims to address cost concerns that have kept physicians from buying health information technology, Rise of the e-mandates: soon physicians may not have a choice."
Click here to register for this audio conference FREE
If you are interested in being a speaker for one of our 2008 audio events, please email us at audio@billing-coding.com with your interest. Thank you, BC Team |
CORRECTION: In response to the article “Certified Coders in the Workplace” in the December/January 2008 issue, it has come to the attention of BC Advantage that there were some inaccuracies reported. Following are clarifications on the inaccuracies listed in the article:
1. AAPC has made no adjustments to the CPC™ exam to make it easier for someone to pass.
2. AAPC's exams include three sections, not five, and all sections must earn a passing score.
3. The percentage pass rate reported in the article is incorrect. As a practice, the passing percentage is confidential and is not available to test takers or the public. AAPC's grading system uses computer-driven metrics and algorithms that score the exam and record a "pass" or "fail."
"The AAPC has been successfully testing a coder's ability to code for years. We strive to uphold a higher standard and ensure that credentialed coders are properly trained and exhibit proficiency in medical coding." |
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For the Week of June 27, 2011 |
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Respiratory:
What are the two CPT codes for smoking and tobacco use cessation counseling services that replace the temporary HCPCS codes G0375 and G0376 previously used for billing these services?
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Radiology:
Can you please tell me how the following procedure should be billed? Whole-body imaging was performed on January 20 and 21 (images done at 4 and 24 hours). SPECT imaging was done only on January 21. Should this be reported as 78804 on January 21 and 78803
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Pharmacy:
To which Medicare contractor would a claim be submitted when a pharmacy dispenses a drug that will be administered through implanted DME but a physicians service will not be used to fill the pump with the drug?
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Pharmacy:
To which Medicare contractor would a claim be submitted when a pharmacy dispenses a drug that will be administered through implanted DME but a physicians service will not be used to fill the pump with the drug?
- Read more...
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Laboratory:
When a CPT code is not listed on the Clinical Laboratory Fee Schedule, how does one determine reimbursement? This is the case, for example, with CPT code 88313-special stains; group II, all other (e.g., iron, trichrome), except immunocytochemistry and im
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Cardiology:
We have had some debate over when we can use the codes for IV injection initial (96374) and IV injection additional (96375).
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