Search found 59 matches

by fjohnson
Tue Apr 19, 2016 12:32 pm
Forum: Medical Auditing Forum
Topic: Giving credit for diagnosis in medical decision making
Replies: 1
Views: 2279

Giving credit for diagnosis in medical decision making

Good afternoon, Could you give credit for an unknown diagnosis of scaly patchy skin of an ear when the patient came in for hx of a differnt malignancy and the mention of the ear was first documented in the exam and in the decision making the provider notates the scaly patch skin could potentially be...
by fjohnson
Wed Apr 06, 2016 12:45 pm
Forum: Medical Auditing Forum
Topic: Giving credit in Medical Decision Making for diagnosis
Replies: 1
Views: 1929

Giving credit in Medical Decision Making for diagnosis

Good afternoon, When giving credit for questionable diagnosis, what documentation needs to exist to support giving credit in the diagnosis or risk of medical decision-making? The patient was being seen for follow up of rosacea & sundamage without malignancy. The ROS documents no new spots of concern...
by fjohnson
Thu Mar 31, 2016 2:43 pm
Forum: Medical Auditing Forum
Topic: Documentation of procedures:17000
Replies: 2
Views: 2294

Re: Documentation of procedures:17000

Thank you for this reponse, when you discuss the CMS documentation guidelines , which are you specifically referring to? Would you be referring to 1995 or 1997 documentation guidelines?
by fjohnson
Tue Mar 29, 2016 12:56 pm
Forum: Medical Auditing Forum
Topic: Documentation of procedures:17000
Replies: 2
Views: 2294

Documentation of procedures:17000

Good afternoon, When documenting a procedure, specifically removal of lesions by liquid nitrogen, is it enough for the provider to document I will perform the LN2 of the AK today, to bill for 17000 on that day? There is no other documentation of the procedure with the exception of this statement. An...
by fjohnson
Fri Mar 04, 2016 4:18 pm
Forum: Medical Auditing Forum
Topic: Corresponding CPT code for HCPCS G0424
Replies: 1
Views: 2045

Corresponding CPT code for HCPCS G0424

Good afternoon,

Is there a corresponding CPT code for HCPCS G0424 Outpatient Pulmonary Rehabilitation Services? I am seeing very little billing for this service and was wondering if commercial payers covered/paid these sevices, but with a different CPT code.
by fjohnson
Tue Feb 23, 2016 5:13 pm
Forum: Medical Auditing Forum
Topic: Extended Constitutional Exam
Replies: 1
Views: 1912

Extended Constitutional Exam

Good afternoon, Do you know of any Fiscal Intermediary or CMS guidance that would give credit for an extended constitutional exam to count towards a 1995 Detailed Examination for example Credit is given to Constituional Organ System for 3 vital signs, general appearance, & communication for an exten...
by fjohnson
Wed Feb 10, 2016 5:00 pm
Forum: Medical Auditing Forum
Topic: Documentation requirement for CPT 92012
Replies: 2
Views: 1694

Re: Documentation requirement for CPT 92012

Thank you Shannon for the reponse. Would this apply to 92002, 92004 & 92014 as well?
by fjohnson
Tue Feb 09, 2016 5:23 pm
Forum: Medical Auditing Forum
Topic: Documentation requirement for CPT 92012
Replies: 2
Views: 1694

Documentation requirement for CPT 92012

Is it required to document and review of PFSH for CPT 92012 Est. patient opthalmoligical services, intermediate? and if so, could documentation by the tech of no eye medications or no systemic medications count towards this requirement. The documentation is a combination of the tech, attending, and ...
by fjohnson
Fri Oct 30, 2015 4:28 pm
Forum: Medical Auditing Forum
Topic: Billing for Xi-Scan
Replies: 1
Views: 2025

Billing for Xi-Scan

Good afternoon, What CPT code should be submitted for a Xi-Scan (“Xi-Scan is a portable, modular and fluoroscopic imaging system. Specially designed for diagnosis of bone injures in extremities, knee and shoulder with a minimal radiation dose but with the same efficiency as conventional x-ray system...
by fjohnson
Wed Jun 17, 2015 2:49 pm
Forum: Medical Auditing Forum
Topic: RN documentation of 93750 - LVAD interrogation
Replies: 1
Views: 1980

RN documentation of 93750 - LVAD interrogation

Hello, I have researched guidance on supporting documentation for the 93750 - LVAD interrogation and could not locate if an RN (in conjuntion with a physican) document a portion of this service. What portion of the service (if any) can the RN document? Can the RN document the LVAD Interrogation of t...