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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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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Who are exempted from the DMEPOS accreditation and or surety bond | Are Physicians Exempted with the DME Accreditation Requirements
Feb10

Who are exempted from the DMEPOS accreditation and or surety bond | Are Physicians Exempted with the DME Accreditation Requirements

Are Physicians Exempted with the DME Accreditation Requirements? So “Who are exempted from the DMEPOS from accreditation and or surety bond?” for medical billing DME. This blog post will give you more clarification. This article will focus only on Physicians and Non-Physician Practitioners and Providers also included are for the Physical Therapy and Occupation Therapy Service Providers: According to the current guideline, the...

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​2019 New CPT Codes Medicare Payments for Virtual Services Remote Monitoring InterProfessional Consultation
Feb09

​2019 New CPT Codes Medicare Payments for Virtual Services Remote Monitoring InterProfessional Consultation

​2019 New CPT Codes Medicare Payments for Virtual Services Remote Monitoring InterProfessional Consultation 2019 New CPT Codes Medicare Payments for Virtual Services Remote Monitoring InterProfessional Consultation CMS – The Centers for Medicare & Medicaid Services (CMS) published the 2019 Medicare Physician Fee Schedule Final Rule, which includes a significant expansion of Medicare reimbursement for virtual...

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Billing Modifier with Unlisted CPT Code | Use of Modifier with Unlisted Procedure CPT Code
Nov02

Billing Modifier with Unlisted CPT Code | Use of Modifier with Unlisted Procedure CPT Code

Many of my readers have been asking me if we can report Unlisted Code with Modifier? So what do you think is the answer? Billing Modifier with Unlisted CPT Code  Use of Modifier with Unlisted Procedure CPT Code         According to the American Medical Association’s CPT Assistant Article (read below): “It is… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article useful?...

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