Search found 91 matches

by Shoshana
Mon Feb 10, 2020 12:18 pm
Forum: Medical Auditing Forum
Topic: Unobtainable Examination
Replies: 0
Views: 44

Unobtainable Examination

Does a provider get any credit for an unobtainable examination if the patient is uncooperative? If so, can you tell me where the regulation is from CMS? I am a FCSO MAC provider.
by Shoshana
Fri Dec 13, 2019 12:05 pm
Forum: Medical Auditing Forum
Topic: Allergy Injections
Replies: 0
Views: 264

Allergy Injections

Does a physician or extender have to be in the building if allergy shots are being given by MA or RN? Can they be available by phone for questions? Do you bill these out under the ordering provider if they don't have to be on site?
by Shoshana
Thu Sep 26, 2019 3:04 pm
Forum: Medical Auditing Forum
Topic: Acuity of known SCC initial visit for Mohs decision
Replies: 1
Views: 1289

Acuity of known SCC initial visit for Mohs decision

Patient with Squamous Cell Carcinoma visits Mohs specialist for determination of need for surgery. What acuity would you think that is? He is billing Level 3, but I feel it qualifies for a moderate level of acuity. Looking for opinion.
by Shoshana
Mon Sep 16, 2019 10:54 am
Forum: Medical Auditing Forum
Topic: Spravato (New psych med)
Replies: 1
Views: 2204

Spravato (New psych med)

Have any of you billed Spravato, a new psych med that requires administration under the direct observation of a healthcare provider and patients are required to be monitored by a healthcare provider for at least 2 hours. My psych physician is billing the E/M visit; and is then billing for prolonged ...
by Shoshana
Thu Jul 11, 2019 2:01 pm
Forum: Medical Auditing Forum
Topic: Resident Guidelines
Replies: 3
Views: 2900

Re: Resident Guidelines

I, too, am wondering about the same thing. Residents from a local school rotating through physician offices that are not a part of a GME program. This is required time with a physician for credit at school, not moonlighting. No pay is being received. How much can they do or is it a shadowing rotatio...
by Shoshana
Thu Jul 11, 2019 1:54 pm
Forum: Medical Auditing Forum
Topic: Help with HPI
Replies: 2
Views: 2567

Re: Help with HPI

No
by Shoshana
Wed Apr 10, 2019 12:58 pm
Forum: Medical Auditing Forum
Topic: Holter Monitoring services
Replies: 2
Views: 1702

Re: Holter Monitoring services

Thank you KBiggs
by Shoshana
Thu Mar 14, 2019 4:37 pm
Forum: Medical Auditing Forum
Topic: polysomnography/sleep study
Replies: 0
Views: 1967

polysomnography/sleep study

When billing for a sleep study (global billing) do you use the date of service the test was started, ended or when the physician interprets the test? I know with a Holter Monitor the answer is the date the physician reads the holter.
by Shoshana
Thu Mar 07, 2019 12:23 pm
Forum: Medical Auditing Forum
Topic: Holter Monitoring services
Replies: 2
Views: 1702

Holter Monitoring services

If I am auditing holter monitor services in a physician office, should the holter monitor be billed on the date it is placed or on the date the physician interpreted the results? My MAC is FCSO, but I think this may be universal. I thought it was when it was read, but can someone give me a link to t...
by Shoshana
Fri Feb 22, 2019 10:21 am
Forum: Medical Auditing Forum
Topic: Psychiatric pre-op clearance
Replies: 0
Views: 979

Psychiatric pre-op clearance

I have a psychiatric physician that does pre-op clearances for spinal cord stimulator implant. His HPI is: _________ reports a chronic and persistent history of back/buttocks and testicular pain for which pain management provider has recommended spinal cord stimulator trial. Pt. indicates wanting to...