Moderate Sedation Coding Guidelines
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There are three main strategies for billing: becoming credentialed as a provider, obtaining preauthorization before submission, and submitting the claim without prior authorization. If a pharmacist is credentialed with the insurance carrier, he or she is already authorized to submit claims to the insurance company for those patients using the pharmacist's program.
Urology billing suffering due to stagnant coding?
Medical Billers and Coders with over 19 years of urology billing and coding experience have channelized the coding for more than 35 urology facilities.
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The Durable Medical Equipment Medicare Administrative Contractors (DME MAC) are changing the requirement that medical coders to use the right (RT) and left (LT) modifiers for certain HCPCS codes, and that the modifiers be used when billing two of the same item or accessory on the same date of service and the items are being used bilaterally. Until now, suppliers billing for bilateral DME devices including therapeutic shoes for patients with diabetes, diabetic inserts, custom AFOs or custom foot orthoses, have been able to submit electronic claims by indicating the total quantity and using the RTLT modifier on a single line OR by using RT on one line and LT on another, noting half the quantity on each.
Coming back to today's topic, the COVID-19 Public Health Emergency (PHE) does not relax the overall requirements for Skilled Nursing Facility (SNF) Consolidated Billing (CB); however, CMS releases a set of CPT telehealth codes for coverable time segments as long as the crisis lasts.
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IMRT is a valuable tool in the treatment of certain cancers. Be sure to maintain appropriate and compliant documentation to support the processes that go into this type of therapy. Knowing the guidelines for billing and coding IMRT is critical to proper payment.
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How to order DMEPOS items correctly?
Suppliers may dispense most items of DMEPOS based on a verbal order or a preliminary written order from the treating physician/practitioner. A detailed written order may be a photocopy, facsimile image, electronic, or pen-and-ink original document.
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Outsourcing your DME billing with Medicalbillersandcoders.com can extensively increase your revenue with safe profits, So waste no time in contacting us at 888 357 3226
Outsourcing your DME billing with Medicalbillersandcoders.com can extensively increase your revenue with safe profits, So waste no time in contacting us at 888 357 3226
The global surgical package, also called global surgery, includes all the necessary services normally furnished by a surgeon before, during, and after a procedure. Medicare payment for a surgical procedure includes the preoperative, intra-operative, and post-operative services routinely performed by the surgeon or by members of the same group with the same specialty. Physicians in the same group practice who are in the same specialty must bill and be paid as though they were a single physician.
Before starting any treatment, providers need to complete the Pre-Authorization. And if providers fail to do so, then there are chances of your claim being denied.
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New AMA Policy for False Claims
The #AMA members addressed in a Special Interim Meeting about increasing number of healthcare professionals making false claims about COVID-19, which undermines public health initiatives and poses a risk to patients.
They announced new policy to combat medical disinformation distributed by #Healthcare professionals.
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When to use GZ Modifier?
The GZ modification is included in claims where the product or service is likely to be rejected because it is inappropriate or needed, and there is an absence of a correctly implemented ABN # within the claim file.
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Do you know the Code for Specialty Care Transport (SCT)?
#HCPCS code #A0434 for Specialty Care Transport (SCT) which is managed by the #CMS is part of the umbrella of #Ambulance as well as Other Transport Services and Supplies. SCT is the hospital-to-hospital transport of an injured or sick patient by ground ambulance.
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