Respiratory Question for the Week of May 26, 2025
What components and related procedures are included in code 94060, and how does it compare to other pulmonary function testing codes such as 94070 and 94150?
Inappropriate reporting of CPT®/HCPCS code groups. Incorrect billing for breathing treatments. Lack of documentation to support medical necessity. These are just a few of the myriad problem areas uncovered by our experts’ audits of respiratory therapy, pulmonary function testing, cardiopulmonary services, and sleep studies. The pandemic remains a trying time for healthcare leaving the financial health of many facilities on the brink.
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What components and related procedures are included in code 94060, and how does it compare to other pulmonary function testing codes such as 94070 and 94150?
Our facility provides ventilation management services both in our skilled nursing unit and for patients at home. Can you clarify which codes we should use for each setting, and how often they can be billed?
If a physical therapist provides remote therapeutic monitoring using codes 98980 and +98981, are there any specific modifiers required when billing Medicare?
Can code 94070 be reported multiple times, especially when exposure to specific agents are included, such as antigens?
With an expected decrease of payment rates for 2025 what revenue generating options may be on the horizon for Respiratory Therapy departments? We’ll help you secure 100% of the payment you deserve for a full range of RT services as well as any revenue generating interventions that may be on the horizon. The strategy is correct coding and billing, supported by rock-solid documentation, which is not as straightforward as it seems. Although you may think your process is complete, RT departments across the country face challenges with charge capture and missed revenue opportunities often due to incomplete or outdated information. Join the numerous professionals across the country that have embraced this trusted annual webcast update for the solutions they’ve been seeking.
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