General Question for the Week of July 6, 2020
What documentation does my doctor need to dictate to allow code 49405–49407 as opposed to 10160?
What documentation does my doctor need to dictate to allow code 49405–49407 as opposed to 10160?
How does the HAC program help to lower hospital-acquired conditions?
What is the function of the Hospital Value-Based Purchasing (VBP) Program?
In the past, we were able to report a whole-body planar scan (78802) with a SPECT scan (78803). However, there is now an edit prohibiting that. Do you know why?
Can you tell me the latest updates on the CMS Accelerated Payment Program?
Has CMS issued the proposed inpatient prospective payment system (IPPS) rule for 2020 yet?
Do the new Appropriate Use Criteria (AUC) modifiers and G codes have to be added to hospital claims as well as interpreting physician claims?
For exams with and without contrast should a physician be present? How is that documented?
A physician ordered a CT of the pancreas without and with contrast, and a CT of the pelvis without and with contrast. Is this documentation sufficient to allow us to bill for 74178?
A physician ordered a CT of the pancreas without and with contrast, and a CT of the pelvis without and with contrast. Is this documentation sufficient to allow us to bill for 74178?
We have an office that is a provider-based entity owned by the hospital. Diagnostic exams are billed as hospital outpatient exams, but how do we bill the professional component? What place of service (POS) is used?
What does the report need to indicate to allow billing of abscess drainage codes 49405–49407?
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