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 September 01, 2010 |
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General:
The August 16 answer addresses the fact that RACs will begin medical necessity reviews. Will they continue DRG reviews or not?
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Respiratory:
My question relates to CPT code 31623 (rigid bronchoscopy with brushings). How many times can this code be assigned?
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Radiology:
Is it correct to assign a code for the vertebral biopsy if a vertebroplasty is done on the same vertebrae and thru the same trocar?
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Pharmacy:
I am not familiar with the accreditation requirement for pharmacies. Where can I find out more?
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Laboratory:
My question relates to getting a complete order for lab tests. I know there are five components of a complete order but cannot identify them all even after researching official Medicare manuals. Can you provide these components?
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Cardiology:
Is modifier Q0 required on a claim with diagnosis code V12.53 (personal history of sudden cardiac arrest)?
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