How much is Allowed During the Global Period Using Modifier 58, 78 and 79
Jan17

How much is Allowed During the Global Period Using Modifier 58, 78 and 79

How much is Allowed During the Global Period Using Modifiers 58, 78 and 79 These 3 Modifiers are commonly used when the service was rendered during the Surgical Global Period. And you might be wondering how are they being reimbursed based on the allowable amount? Well, here’s what I thought I should be sharing to you. Modifier 58  What it indicates, “staged or related procedure or service by the same physician during the post-operative period.” when; planned at the time of the original procedure, or staged; it is more extensive than the original procedure; or a therapy following a diagnostic surgical procedure. *** DO NOT use Modifier 58 if the Procedure is Converted from Laparoscopic to Open Procedure Reimbursement: 100% of the allowable amount Modifier 78  What it indicates,  “unplanned return to the operating/procedure room by the same physician following initial procedure for a related procedure during the post-operative period. When this procedure is related to the first and requires the use of an operating or procedure room, it may be reported by adding modifier 78 to the related procedure.” Reimbursement: Likely up to 80% of the allowable amount; why? well, its because it is related to the procedure that is within the global period. Modifier 79  What it indicates, “unrelated procedure or service by the same physician during the post-operative period.” Reimbursement: 100% of the allowable amount Need Immediate Help?  CHAT WITH US/TEXT/CALL  (888) 822-0862 Email: pinky.maniri@gmail.com  We Offer CONSULTING SERVICES  We always OVER-DELIVER! 100% Satisfaction Guaranteed. Or we will return your money! We offer hourly coding consulting time on certain specialty only: Pain Management General Surgery Anesthesiology Physical Medicine and Rehabilitation Dermatology Obesity Medicine Sports Medicine Neurology Spine and Orthopedic Surgery Physical Therapy / Occupational Therapy / Speech Pathology Chiropractic Services Workers Comp and Motor Vehicle Accident Cases Medical Billing, Coding, Reimbursement and E/M Questions? We can help you navigate your practice on how to INCREASE REVENUE by looking at additional Services that you can possibly do in your Practice based on your Specialty. Other Services We Offer: Setting up a Medical Practice Revenue Cycle/Reimbursement Management Insurance Credentialing and Contract NegotiationsMedicare Enrollment and Credentialing Chart Auditing Staff Training Compliance Program Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...

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Medicare Covers Transcutaneous Electrical Nerve Stimulator (TENS) ONLY for Back Pain
Oct27

Medicare Covers Transcutaneous Electrical Nerve Stimulator (TENS) ONLY for Back Pain

Medicare Covers Transcutaneous Electrical Nerve Stimulator (TENS) ONLY for Back Pain In June 8, 2012, CMS issued a Medicare National Coverage Determination (NCD) that allows coverage of Transcutaneous Electrical Nerve Stimulation (TENS) for chronic low back pain (CLBP) only when the patient is enrolled in an approved clinical study within three years after the June 8, 2015 under coverage with evidence development (CED) that meets the criteria outlined below. It only allows coverage for TENS use in the treatment of Chronic Low Back Pain (CLBP) only under specific conditions which are described in the NCD Manual, Pub. 100-03, chapter 1 Section 160.27. Read More about the Decision Memo for a Complete Guideline – CLICK HERE! Searched Keywords: Medicare Covers Transcutaneous Electrical Nerve Stimulator (TENS) ONLY for Back Pain Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...

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Compliance Guidance (Videos)
Mar18

Compliance Guidance (Videos)

//   Compliance Program Basics Physician Self-Referral Law // Federal Anti-Kickback Statute False Claims Act   //   OIG Guidance Operating an Effective Compliance Program Overview of Centers for Medicare and Medicaid Services   Related POST READ HERE –  Compliance Guidance from the Office of the Inspector General or the OIG   For more information,… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...

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