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jkyles's latest activity
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jkyles replied to the thread Wiki GXXXX5.Hi there, Are you reporting the assessment with an annual wellness visit? That's the only time you should append modifier 33. Otherwise it is not a preventive service... -
jkyles reacted to CBLENNIE's post in the thread Wiki Caregiver Training 97550 - Initial 30 minutes with
Like.
You would only report 1 unit of 97550 per DOS per provider for the first 30 minutes of training. For additional units of caregiver training with the same provider, you would report 97751 for each additional 15 minutes of training. Per the CPT... -
jkyles replied to the thread Wiki Phone Visit In-Office.Hi there, The office/outpatient visit requires a face-to-face encounter or a real-time audio and video connection if you're doing it via telehealth. Assuming the visit meets all of the other requirements (and the doctor documented the time), I...
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jkyles replied to the thread Wiki Interpersonal/Telephone/Internet/Electronic Health Record Consultations and QHP.Hi there, the LCSWs themselves should know whether they're allowed to report E/M services under their state scope of practice. If they can't report E/M visits, they can't report other E/M services.
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jkyles replied to the thread Wiki pudenal nerve branch blocks.Hi there, I highly recommend starting with your payer policies if you plan to bill for this service. It may not be covered at all. For example, Medicare does not consider services performed solely for patient comfort or provider convenience to be...
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jkyles replied to the thread Wiki Shared Visit: Doctor treats new problem & mid-level treats follow-up problem.I would just add that the PA must be extremely careful to just serve as a scribe. They cannot include any of their clinical impressions in the note. For example: The MD/DO sees the patient, but forgets to review some lab results that would...
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The thing is, though, that time isn't only face-to-face with the patient. It's also things to specifically prepare for that patient's visit - reviewing previous notes and stuff like that. (I can't remember what all the activities are that are...
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It's difficult to say without the documentation. However, it is one or the other, you don't mix both. If it states 32 minutes and it is documented as to what was included in that time it's over 30 mins = 99214 if established. Time alone may be...
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jkyles replied to the thread Wiki Time vs. MDM-Clarification Please.Hi there, Unless the auditor can point to a specific payer policy, there's no such thing as matching the MDM to the time for a code (or vice versa). MDM and time are two independent concepts. The CPT editorial group deliberately structured the...
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jkyles replied to the thread Wiki Billing G2212 in 2024.I did see that recently. But until CMS makes the update, that only applies to providers in NGS' jurisdiction. I would also highly recommend that everyone who bills G2212 to NGS save a copy of that page on their computer, just in case. 😁
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jkyles replied to the thread Wiki G2211- HELP!.Hi there, I highly recommend the link posted above. Some quick answers: 1. The code can be reported by any provider who can bill office/outpatient E/M visits under their own name/NPI. 2. There's no limit, but the documentation for each visit must...
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jkyles reacted to medicalauditor's post in the thread Wiki Telehealth documentation requirements with Like.
Thank you, this is very informative.
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jkyles reacted to Cynthia Hughes's post in the thread Wiki G2211 description on patient statements with Like.
I don't work directly with practices and I have not seen any messaging from Medicare to beneficiaries to explain the new charge. The short descriptor from CMS is "Complex e/m visit add on." However, you might consider something like...
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jkyles reacted to areynaga's post in the thread Wiki Ultrasound (76882) and Trigger point injection(20552) with Like.
I think I would need to see your documentation on this as to why you are using 76882. Is this a separate exam, or is your provider doing the injections w/ultrasound guidance, because then your code would be 76942. There are some insurances...
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jkyles replied to the thread Wiki In house urine drug test.Hi there, you do need a CLIA certificate of waiver. Certification of some sort is mandatory for providers that perform lab testing on patients. The type of certificate depends on the complexity of testing performed in the lab. Here's some reading...