Search found 5 matches

by kbiggs
Thu Sep 19, 2019 12:25 pm
Forum: Medical Auditing Forum
Topic: Clinic Visit with device interrogation/programming
Replies: 1
Views: 1305

Clinic Visit with device interrogation/programming

Anyone here can give me an auditors perspective when coding an office visit along with a device interrogation or programming, referring to pacemaker, ICD, or LOOP recorders, when it is appropriate to bill a 99214 rather than a 99213/99212!? We are having frequent discussions on what is 'included' in...
by kbiggs
Thu Mar 28, 2019 11:48 am
Forum: Medical Auditing Forum
Topic: Holter Monitoring services
Replies: 2
Views: 1707

Re: Holter Monitoring services

We bill enrollment date as the date of service for all payers except for Medicare it is the provider reviewed/signed date for the date of service. That is for my location.
by kbiggs
Tue Mar 12, 2019 2:35 pm
Forum: Medical Auditing Forum
Topic: Chronic Care Management
Replies: 0
Views: 936

Chronic Care Management

A separate company our organization is contracted with is telling me things, and I need to verify with experts, so i am hoping auditors on here will help me! Is it compliant to only address/discuss/review 1 chronic condition in a billable calendar month? Does the clinical staff have to be licensed t...
by kbiggs
Thu Jan 31, 2019 4:21 pm
Forum: Medical Auditing Forum
Topic: 2019 Documentation Changes
Replies: 1
Views: 590

2019 Documentation Changes

I am really trying to educate myself as much as possible for me to educate my group of providers. Per AAPC, article from January 24th 2019, they state "Allowing ancillary staff to conduct and report the history is a huge policy change. Previously ancillary staff members were restrict4ed to only comp...
by kbiggs
Thu Sep 20, 2018 10:57 am
Forum: Medical Auditing Forum
Topic: Prolonged Care same day as procedure
Replies: 1
Views: 919

Prolonged Care same day as procedure

I am trying to get advice on a physician who is billing prolonged care, 99356, on the same day as 99223, and a heart cath! Codes being billed are 99223, 99356, 93010, 93458, 76937, 36140, 75710, & 99152. If time justifies the E/M and prolonged services, is this billable? I have never had this circum...