Inpatient Consult Codes | How to Bill for Medicare Billing for Inpatient Consult Admitted Patient in the Hospital
Mar17

Inpatient Consult Codes | How to Bill for Medicare Billing for Inpatient Consult Admitted Patient in the Hospital

Inpatient Consult Codes – How to Bill for Medicare Billing for Inpatient Consult Admitted Patient in the Hospital Codes Your choice of code are based on the 3 Key Components of the Evaluation and Management E/M Services which are the: 1. History, 2. Examination, and 3. Medical decision-making. When billing initial hospital care, all three key… Please LOGIN HERE to view this content. Or, REGISTER...

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Insurance Payment Paid and Allowed 100% of Charged Amount – don’t celebrate! Let me tell you why!
Mar12

Insurance Payment Paid and Allowed 100% of Charged Amount – don’t celebrate! Let me tell you why!

I asked some of my readers about how they will feel if their claims has an allowed amount that is at 100% of the charged amount, wow! So, meaning, when you bill for $2000.00 and the insurance made their determination at 100% of your charges… you bill $2,000, they allowed $2,000 – would you be happy?… Please LOGIN HERE to view this content. Or, REGISTER...

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Can I use modifier 59 for CPT 99204, 99213, 99214, 99215, 99205, 99203 Problem Focused E/M
Mar12

Can I use modifier 59 for CPT 99204, 99213, 99214, 99215, 99205, 99203 Problem Focused E/M

Can I use modifier 59 for CPT 99204, 99213, 99214, 99215, 99205, 99203 Problem Focused E/M   A question from one of my blog readers… By definition, Modifier 59 is used to identify procedures/services that are commonly bundled together but are appropriate to report separately under some circumstances. A health care provider may need to… Please LOGIN HERE to view this content. Or, REGISTER...

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DME Modifiers use for DME Durable Equipment Billing | How to Bill for DME
Mar06

DME Modifiers use for DME Durable Equipment Billing | How to Bill for DME

DME Modifiers use for DME Durable Equipment Billing MODIFIER BP – The beneficiary has been informed of the purchase and rental options and has elected to purchase the item MODIFIER BU The beneficiary has been informed of the purchase and rental options and after 30 days has not informed the supplier of his/her decision MODIFIER KH – DMEPOS item, initial claim, purchase or first month rental MODIFIER KI – DMEPOS item,...

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2017 New CPT Codes for Billing Coding Presumptive Drug Class Procedures, UDS, Urinary Drug Screening and Immunoassay | Point of Care UDT
Jan29

2017 New CPT Codes for Billing Coding Presumptive Drug Class Procedures, UDS, Urinary Drug Screening and Immunoassay | Point of Care UDT

***** 2018 CPT CHANGES – REVISED CODE 80305. READ HERE **** Wow! we have new codes effective January 1, 2017 for Presumptive Screening Toxicology CPT codes. These will replace both the AMA CPT and Medicare’s HCPCS for presumptive drug testing. The following AMA CPT codes for presumptive urine drug testing are now DELETED and no longer recognized… Please LOGIN HERE to view this content. Or, REGISTER...

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Why Physicians Medical Practice Cannot Make More Money
Jan09

Why Physicians Medical Practice Cannot Make More Money

Here are the 7 Common Reasons that I know make sense why many physicians cannot make more money! 1. Reimbursements are NOT being Maximized due to Poor Medical Coding Knowledge, Skill and Analysis Let me show you some example: a. Bilateral Procedure billed anatomically at only “one side” b. Surgery Converted to Open Procedure (the OP report documents from “Lap” to “Open” was performed) – how...

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