ckeeney's latest activity

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    ckeeney reacted to sls314's post in the thread Wiki Outpatient workflow question: Do your physicians sign their note before or after coding review? with Like Like.
    You'd need to be sure to have a process to hold the claims until the notes are signed - you don't want to bill claims with unsigned documentation. You'd also want to have a process to review the coding after the documentation is signed in case...
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    ckeeney reacted to amyjph's post in the thread Wiki Outpatient workflow question: Do your physicians sign their note before or after coding review? with Like Like.
    1. The facility or practice should/would have a policy and procedure for authentication of documentation which would be independent from anything to do with coding, billing or revenue. 2. Notes are not complete/billable until signed by the...
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    ckeeney reacted to csperoni's post in the thread Wiki Telehealth Place of Service Codes 02 or 10 with Like Like.
    Located!! My MAC (NGS) came out with this fact sheet stating: "If the patient receives the telehealth service from a location that is not a facility they would normally receive care, such as their car or work, then POS 10 would be appropriate...
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    ckeeney replied to the thread 90837 Behavioral health.
    You can find the NCD/LCD coverage here: https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57480 If the diagnosis is not on the NCD/LCD and it is correct per documentation, then there is no option of submitting a...
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    ckeeney replied to the thread Wiki Psychiatric E/M or Hospital Admission E/M?.
    You are correct that you can't use both. We have a 16-bed psychiatric inpatient unit and not part of a large hospital system and our providers routinely use 99223 for the initial visit. They are also the attending. There are many scenarios to...
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    ckeeney replied to the thread Wiki E/M 99214 code with add-on psychotherapy code 90833.
    90833 add-on code would be used when there was psychotherapy done by the rendering provider in addition to the E&M service. There needs to be separately identified note with start and stop times indicated and this time does not count towards the...
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    ckeeney replied to the thread Wiki Psychiatrist Billing.
    I would add that you need to check payer rules. Medicare, for example, does not allow billing under a supervising provider. Indiana Medicaid (the state I am billing for), has specific rules on supervising and modifiers for mental health services...
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    ckeeney reacted to rhedges's post in the thread Wiki 90847 Couples/Family Counseling with Like Like.
    I was able to find that article earlier today, I just wasn't sure if there was something newer. I almost had to laugh when the Medicare rep this morning told me to speak to a certfied coder about the coding for this service. I told her I was a...
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    ckeeney replied to the thread Wiki 90847 Couples/Family Counseling.
    Although this is not specific to Noridian, I have the following from CMS: https://www.cms.gov/medicare-coverage-database/view/article.aspx?articleId=57480 It lists 90847 and the covered diagnoses.
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    ckeeney replied to the thread Wiki Inpatient Psychiatric coding information.
    For an understanding of diagnoses I have access to the DSM-5 through our corporate enrollment with the publisher: https://dsm.psychiatryonline.org Although these do not always crosswalk to the ICD-10 options, it can give you a good understanding...
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    ckeeney replied to the thread Wiki Inpatient Psychiatric coding information.
    Check on your MAC's website. I find useful articles/training. What type of facility? I work for an entity that has it's own psychiatric inpatient unit POS 51.
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