Search found 3 matches

by Gibbons86
Wed Oct 24, 2018 1:11 pm
Forum: Medical Compliance Forum
Topic: Xray Orders and Coding Compliance
Replies: 1
Views: 865

Xray Orders and Coding Compliance

Does the Xray Order have to match the Interpretation/Read and essentially what was billed for Clinic Xrays performed by ordering physician? Example) Provider in clinic orders xrays and reads them same day. He selected Xray Bilateral Standing AP Knees (73565) but in his interpretation he clearly indi...
by Gibbons86
Tue Oct 23, 2018 1:41 pm
Forum: Medical Auditing Forum
Topic: Initial Observation less than Detailed History
Replies: 2
Views: 614

Initial Observation less than Detailed History

The Physician ordered the patient to be in Observation status and the stay was longer than 24 hours in Observation, meeting 99218-99220. However the initial visits History is only Expanded due to missing PFSH and HPI components. Since we do not meet all 3 components for the lowest code 99218, do we ...
by Gibbons86
Thu Mar 29, 2018 9:11 am
Forum: Medical Auditing Forum
Topic: PA performing Injection within multi-specialty group
Replies: 1
Views: 960

PA performing Injection within multi-specialty group

We have a PA whose supervising physician is a PM&R Specialty. The PA sees an established patient for 2 injections, one being a planned trigger point performed previously last year by another PM&R Physician in the same practice, and then added on a knee injection per the patients additional complaint...