General Question for the Week of January 7, 2019
What modifier should be used to report bilateral surgical procedures?
What modifier should be used to report bilateral surgical procedures?
What code should be reported when no codes correctly describe the service performed?
Does CMS still operate the EHR Incentive program?
What is the Medicare policy when outpatient services are provided to inpatients of another facility? And which facilities does this policy apply?
What billing procedure should a hospital use when we think some of the outpatient services are covered, and some are not? Should an ABN be given to the patient?
Has CMS analyzed the most frequent billing problems on the inpatient side of Medicare?
Our providers use scribes to document entries in the medical records. Does Medicare require the scribes to sign the notes?
If next year’s hospital OPPS and ASC final rules have been released, where can I find them?
How does a Medicare Advantage plan differ from Part A and/or B Medicare plans?
What is the Medicare Shared Savings Program (Shared Savings Program)?
My question relates to appending modifier -59 to multiple units. CPT® codes 97150 and 97113 X 4 have been charged, and I believe the requirements for the modifier have been met. That is, we should append modifier -59 to each unit of 97113 (i.e., apply -59 four times). Is that correct?
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Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
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