Search found 87 matches

by Shoshana
Thu Jul 11, 2019 2:01 pm
Forum: Medical Auditing Forum
Topic: Resident Guidelines
Replies: 3
Views: 356

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: 319

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: 345

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: 410

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: 345

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: 359

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...
by Shoshana
Wed Feb 13, 2019 12:57 pm
Forum: Medical Auditing Forum
Topic: Help with HPI
Replies: 2
Views: 319

Help with HPI

I need assistance with this HPI on a new patient seeing the Oncologist. Documentation states: Ms. XX is a pleasant middle-aged woman who presented with abnormal right breast mammogram. Biopsy was consistent with ER/PR positive, HER 2neu negative, invasive ductal carcinoma. She underwent rt. breast m...
by Shoshana
Wed Feb 13, 2019 12:48 pm
Forum: Medical Auditing Forum
Topic: Critical Care Coding
Replies: 2
Views: 335

Re: Critical Care Coding

Thank you. That is how I remembered learning it. I appreciate your response.
by Shoshana
Wed Feb 06, 2019 8:47 am
Forum: Medical Auditing Forum
Topic: CPT for crushing concha bullosa endoscopically (ENT question)
Replies: 1
Views: 257

CPT for crushing concha bullosa endoscopically (ENT question)

I need to ask your help with a code. We have always billed 31240 for concha bullosa resection however now Dr. Mxxxxxxx will be performing the procedure differently. Instead of resecting the concha bullosa he will be using a special tool to crush the concha bullosa, we will still perform this endosco...
by Shoshana
Fri Jan 25, 2019 8:53 am
Forum: Resources and Tools for the Auditor and Compliance Professionals
Topic: CMS Comparative Billing Reports specific to Specialties
Replies: 0
Views: 545

CMS Comparative Billing Reports specific to Specialties

Does anyone know how I can request or download a report from CMS that identifies the most current information they have on specialty billing> I have a seen a 2010 report with this information, but wanted a more updated version if possible. I would also love to drill it down to specialists in Florida...