Search found 16 matches

by janinemarie86
Tue Jan 15, 2019 6:28 pm
Forum: Medical Auditing Forum
Topic: Verbal consent for 99451-99452, 99446-99449, G2010, G2012
Replies: 1
Views: 249

Verbal consent for 99451-99452, 99446-99449, G2010, G2012

Hello,

Has CMS finalized the requirements for the required verbal consent for these codes?
by janinemarie86
Tue Jan 08, 2019 5:12 pm
Forum: Medical Auditing Forum
Topic: Time statement- Medical Necessity
Replies: 1
Views: 373

Time statement- Medical Necessity

Hello, For EMs coding based on time statements: do the EM elements need to support the level of service as described based on the average time associated with the code? What advice would you give to providers that represent their work by time for higher levels of service, although the medical necess...
by janinemarie86
Tue Jan 08, 2019 5:00 pm
Forum: Medical Auditing Forum
Topic: when to use 99451 vs 99446-99449
Replies: 2
Views: 318

Re: when to use 99451 vs 99446-99449

Hello and thank you for your reply. I suppose my confusion is that both code descriptions include: "Interprofessional telephone/internet/EHR record assessment and management service". Therefore there is confusion when it would be appropriate to use one over the other when they both seem to include t...
by janinemarie86
Tue Jan 08, 2019 12:30 pm
Forum: Medical Auditing Forum
Topic: when to use 99451 vs 99446-99449
Replies: 2
Views: 318

when to use 99451 vs 99446-99449

Can you explain when you would use 99451 vs 99446-99449?
The code descriptions are very similar.

Thank you!
by janinemarie86
Fri Dec 21, 2018 12:41 pm
Forum: Medical Auditing Forum
Topic: Time Based Billing- Unit/Floor time
Replies: 1
Views: 302

Time Based Billing- Unit/Floor time

Hello, For inpatient services: considering unit/floor time for services, does the focus of the service have to be dominated by counseling/coordination of care, like in outpatient services? For example : Greater than 50% of the 45 minute service was spent at the bedside spent in direct patient care. ...
by janinemarie86
Thu Nov 15, 2018 6:37 pm
Forum: Medical Auditing Forum
Topic: Wound Vac- Patient owned equipment
Replies: 1
Views: 368

Wound Vac- Patient owned equipment

Hello,
There are instances where patients are bringing in their own Wound Vac and/or supplies (sponge, etc.) and the providers are replacing the wound vac and evaluating the wound. Would this still be billable with 97605/97606?
by janinemarie86
Thu Nov 08, 2018 1:31 pm
Forum: Medical Auditing Forum
Topic: Counting Screening Labs and Imaging in Box B
Replies: 1
Views: 440

Counting Screening Labs and Imaging in Box B

Hello, In regards to E/M services, if a provider orders a lab test/imaging that is strictly for a screening purpose would you count these lab test/imaging towards the Data to Be Reviewed or Ordered in Box B. Example would be: cholesterol screening, mammogram, DEXA, etc. 1997 Documentation Guidelines...
by janinemarie86
Fri Sep 28, 2018 12:20 pm
Forum: Medical Auditing Forum
Topic: Minimal sedation with E/M service
Replies: 1
Views: 529

Minimal sedation with E/M service

I have seen some information that minimal sedation is included in the E/M service and cannot be billed separate if done in the same service. Can this be confirmed? If an E/M is documented with a time statement and counseling and coordination of care is done in addition to the minimal sedation does t...
by janinemarie86
Thu Sep 13, 2018 11:36 am
Forum: Medical Auditing Forum
Topic: EPF Detailed Exam- Noridian Jurisdiction F
Replies: 1
Views: 534

EPF Detailed Exam- Noridian Jurisdiction F

Hello, Is there anyone here whose MAC is Noridian, jurisdiction F? We are trying to determine the number of elements that Noridian prefer for the expanded problem focused and detailed exam. Currently we are completing 2-7 body areas and organ systems for both and the determination is made by how man...
by janinemarie86
Fri Aug 17, 2018 4:22 pm
Forum: Medical Auditing Forum
Topic: 95250- CGM monitor removal
Replies: 0
Views: 485

95250- CGM monitor removal

In the case where the patient wears the monitor for the 72 hour threshold although removes the sensor before returning to the office to see the provider, is the service of 95250 still billable?