Search found 85 matches

by Shoshana
Wed Apr 10, 2019 12:58 pm
Forum: Medical Auditing Forum
Topic: Holter Monitoring services
Replies: 2
Views: 171

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: 154

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: 171

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: 117

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: 0
Views: 150

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: 252

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: 159

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: 159

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...
by Shoshana
Wed Jan 23, 2019 11:07 am
Forum: Medical Auditing Forum
Topic: Using the NAMAS Methodology to Train my Physicians
Replies: 1
Views: 212

Using the NAMAS Methodology to Train my Physicians

I have a question. I have so much luck using your methodology to train my physicians to apply severity of the presenting problem to determine the acuity of the patient. But on occasion, the below type scenario comes up; and then the physician states the methodology is flawed. I want to continue to p...
by Shoshana
Thu Jan 17, 2019 1:19 pm
Forum: Medical Auditing Forum
Topic: Critical Care Coding
Replies: 2
Views: 252

Critical Care Coding

I just attended a critical care webinar and the presenters stated the physician can bill for critical care and E/M on the same calendar day. Stated if patient rounding in the morning bill subsequent visit and if called later in day because patient crashed, bill critical care. (This I understood) But...