How Claims Can Avoid Getting Denied for Prolonged Services CPT Code 99354, 99355 for Payments
Feb22

How Claims Can Avoid Getting Denied for Prolonged Services CPT Code 99354, 99355 for Payments

You can definitely avoid and eliminate claims denials and non-payment only if you equip your self with enough knowledge on how to do it right. How to appropriately report the Prolonged Services codes. Here are your Codes for Prolonged Services 99354 Prolonged physician service in the office or other outpatient setting requiring direct (face-to-face) patient contact beyond the usual service; first hour(List separately in addition to...

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Physical Therapy CPT Codes and the Medicare 8 Minute Rule in Physical Therapy Billing
Feb14

Physical Therapy CPT Codes and the Medicare 8 Minute Rule in Physical Therapy Billing

Physical Therapy CPT Codes and the Medicare 8 Minute Rule in Physical Therapy Billing Let’s understand our Physical Therapy CPT Codes and the 8 Minute Rule Physical Therapy Billing based on Medicare’s Guideline. There are 2 types of Physical Therapy Modalities Constant Attendance Modality Constant Attendance Modality (billed in 15 minutes increments) – REQUIRES direct one-on- one provider to patient contact. 97032...

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What is the CPT Code for  Genicular Nerve Left Knee RFA or Destruction of Three Branches –  superior medial and lateral branches and the inferior medial branch
Feb13

What is the CPT Code for Genicular Nerve Left Knee RFA or Destruction of Three Branches – superior medial and lateral branches and the inferior medial branch

Photo Source: ainsworthinstitute.com/genicular-neurotomy/ According to CPT Assistant published in January 2018 CPT Assistant issue included this Q&A: Question: What code(s) is used to report an injection on the superior medial and lateral branches and the inferior medial branch of the left genicu-lar nerve performed for destruction with a neurolytic agent?January 2018 CPT Assistant Q&A Answer: Code 64640 -, Destruction by...

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Improper DME Billing is on OIG 2018 Work Plan | Billing Off-the-shelf Orthotic Devices L0648, L0650, L1833 part of OIG 2018 Work Plan
Feb12

Improper DME Billing is on OIG 2018 Work Plan | Billing Off-the-shelf Orthotic Devices L0648, L0650, L1833 part of OIG 2018 Work Plan

Billing Off-the-shelf Orthotic Devices L0648, L0650, L1833 part of OIG 2018 Work Plan According to OIG’s report, since 2014 DME claims for three OTS – Off the shelf orthotic devices have increase by 97 percent and the allowed charges have grown by significantly 116 percent, reaching a whopping $349 million alone in 2016. On January 16, 2018, the Department of Health and Human Services Office of Inspector General or the OIG...

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How to Report Claim for Prolonged Services when without Face to Face or No Direct Patient Contact
Feb11

How to Report Claim for Prolonged Services when without Face to Face or No Direct Patient Contact

How to Report Claim for Prolonged Services when without Face to Face or No Direct Patient Contact Here’s a good blog post for you to have a better understanding on how to Report Claim for Prolonged Services when rendered without Face to Face or when there is No Direct Patient Contact. Because the truth of the matter and in so many different circumstancres, it may be appropriate to submit and report claims for Prolonged Services...

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