You Be the Coder: Eschew E/M Payment When Billing a Flu Shot
Question: When patients come in for a flu shot, our nurse sees the patient first. She documents a brief history, looking for any contraindications and counsels the patient [...]
View ArticleBilling Corner: Confirm 'Established Plan of Care' to Avoid Rejection of NPP...
Definition of new condition is crucial to distinguish incident-to services. If your pulmonology practice, like many, is employing non-physician practitioners (NPPs) or mid-level providers (MLPs), [...]
View ArticleReader Question: Primary Procedure Code Precedes 31627
Question: Our pulmonologist saw a patient with breathing difficulties and blood in the cough. Suspecting possible lung cancer, our pulmonologist used electromagnetic navigation bronchoscopy (ENB) and...
View ArticleE/M Encounters: 2 Tips Help You Prep for Pulmonary Diagnosis Coding in Pre-Op...
Visit setting and type of payer will determine coding for an E/M service before surgery. Usually, you can’t report a preoperative visit with a patient [...]
View ArticleYou Be the Coder: Beware of Ownership Issues Before Billing Pulse Oximeter...
Question: Is it true that I should only report 94762 as a technical component? Therefore, if a physician in our practice interprets the overnight pulse oximeter reading, I should [...]
View ArticleFlu Vaccines: 90630 Adds More Firepower to Your Influenza Coding Armory
Expect to start getting paid for the code by April. CPT® added a new influenza vaccine code 90630 manual in 2015, but the code was [...]
View ArticleReaders Question: Spot Modifier 76 Applicability In Therapeutic Intervention
Question: A patient presents to the office with an allergic reaction to chlorine after swimming all afternoon. The patient is wheezing with dyspnea. The physician immediately administers a nebulizer...
View ArticleReaders Question: Immunotherapy and E/M Service Can Go Hand in Hand
Question: My pulmonologist assessed a patient suffering from severe pain and fever due to a peritonsillar abscess and the patient received her scheduled bimonthly series of allergy immunotherapy for...
View ArticleE/M Errors: Take Corrective Action Fast to Reduce Possibly Inflated E/M...
Even NPP claims are equal culprits. Audit studies have always found evaluation and management coding and “incident-to” billing as regulars at the top of [...]
View ArticleInhalation Treatment: 4 Rules Rev Up Your Reimbursement for Nebulizer Treatment
Talk to your physician to choose correctly between coding prolonged services or a higher-level E/M. When your pulmonologist treats respiratory conditions such as asthma and [...]
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