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Reader Question: Know the Teaching Physician Rules

20. August 2014

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Question: A physician in our group recently started supervising a resident’s services during his inpatient rounds. How can I best report evaluation and management services provided by a teaching physician? Answer:

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Part B Mythbuster: Op Note Scrutiny Focuses on More Than Just the Title

20. August 2014

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Plus: Bust this myth about same-day E/M services. Myth: You should work twice as hard on the title of your physician’s medical record than you should on the note itself, because the title is enough to justify the codes you…

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Reader Question: Know What ‘Split Night’ Entails

16. July 2014

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Question: I’ve been hearing the term “split-night service” lately but don’t know what it is. Can you explain it to me?  Answer:

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What Are MUEs?

16. July 2014

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Although CCI may be very familiar to you, any practice filing a claim with Medicare should also know what MUEs are and how they work. “An MUE for a HCPCS/CPT® code is the maximum units of service

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Reader Question: Historical Review May Not Be Billable

18. June 2014

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Question: A patient had her past medical records, containing more than 10 years of history, sent to our doctor for review. Not all of the history related to our specialist. How can I charge for the doctor’s time reviewing these…

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Part B Mythbuster: Stabilization Doesn’t Always Equal Fracture Care

18. June 2014

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Plus: Don’t forget to bill supply codes to Medicare. A patient reports to your practice with a broken bone. The physician treats her and sends her home. This is automatically a fracture care claim … right? Wrong: Even if the…

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Reader Question: Know What Sinus Surgeries Include

20. May 2014

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Question: Is partial excision of the middle turbinate considered a separate procedure or is it included as part of access to the ethmoid sinus?

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Part B Mythbuster: Can You Report Critical Care Time Outside the ICU?

20. May 2014

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The answer to this commonly-held belief may surprise you. Your physician performs CPR for a non-responsive patient in the observation care unit of the hospital, where he attends to the patient for 30 minutes, and the patient is later moved…

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Reader Question: Drill Down to the Correct Bundling Rules

16. April 2014

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Question:  I used the Correct Coding Initiative (CCI) edits checker tool and entered 2 CPT® codes (58558 and 58559). There was no indication these codes cannot be reported together. However, when I use the CMS scrubber tool and enter the…

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Part B Mythbuster: Make Your Global Period X-Ray Claims Picture Perfect

16. April 2014

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Find out when to apply modifier 76. Myth: X-rays that you shoot or interpret during the global period are not billable to Medicare because payers include these charges in the surgical package.

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