Recent content by luvbuix

  1. L

    Wiki subspecialty

    so- if my rad onc guys are considered separate then my surg onc will also be separate. i suspected that was the case- i just wanted to verify
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    Wiki E/M visit level

    so- for non qualified professional discussions the way you try to get reimbursed for that is to put towards the total time spent on that case for the day. you would then use time as a deciding factor if it's higher than your MDM.
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    Wiki subspecialty

    i work for a fairly large oncology practice. we currently have med onc & rad onc docs which are considered subspecialties from each other. we have an oncology surgeon starting in a few weeks who will work directly for our practice. my questions is: is surgical oncology considered a separate...
  4. L

    Wiki 99497 & 99498

    i'm trying to locate a reliable source for the time constraints on these codes. specifically i'm looking for the limits on 99498. on CMS's website they do set the limit for 99497 at 16 mins minimum. my issue is that they do not do that for 99498 but i just watched 2 webinars that say you must...
    • luvbuix
    • Thread
    • Replies: 1
    • Forum: E/M
  5. L

    Wiki discharge issues

    no- we are the admitting & the attending in these cases. all the other docs bill for the d/c whether the pt dies or not.
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    Wiki discharge issues

    no- these are pts that are on our service. we are the attending & do the initial visit which we bill for. same as if the pt is d/c'd to home (or wherever) alive. we are only having this issue when the pt dies. our health systems require a d/c note done within 24 hrs by the MD regardless of...
  7. L

    Wiki discharge issues

    these are almost always our pts that are in the hospital under our service. our health systems have a policy that the admitting/attending needs to do the d/c note within 24 hrs of d/c. we have no issues doing the H&P on admission (initial hosp visit) or the d/c when the pt is still alive...
  8. L

    Wiki discharge issues

    i have several docs who are doing d/c summaries when the pt dies in the hosp & then not charging for them. to compound the matter some of these are shared visits. they will either do the note & then a "no charge" or they will let the APPs subseq visit note done that same day stand as the...
  9. L

    Wiki A/P

    although the info is scant i can get a 99214 out of this one. 1 acute illness with systemic & rx drug mgt= 99214
  10. L

    Wiki Can a coder choose MDM over documented total time?

    they should put both on their note & choose the level based on whichever component is the highest. the new guidelines help them/and you optimize their coding. we have cancer pts that get 10-15 min office visits- if they are getting chemo obviously the MDM would be what you would code from. we...
  11. L

    Wiki Unique test ordered for MDM

    or could some of these fit into the minor procedures (hopefully with risks/benes) category under risk?
  12. L

    Wiki extended time

    have they adapted to Medicare requirements? for those you need more time beyond the upper number of the range.
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    Wiki Prolonged Visits

    prolonged visits are for extra time spent beyond the time frame of the 99205/99215 codes on the SAME DAY. for medicare that would be 89 mins or more for the 99205 & 69 mins for the 99215. for commercial carriers it would be 75 mins & 55 mins respectively. also- prolonged service is an add on...
  14. L

    Wiki Office Visits via video

    as of today this would be telehealth. you would bill it same as an office visit with the 95 modifier. for out of state providers check state guidelines for the both states & make sure that provider is licensed in both. a good portion of states are part of the new pact which eases licensing...
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    Wiki Duplicate notes for two kids at same appt?

    your provider should listen to what you are saying, do what you tell them, thank you for keeping them out of jail, & give you a raise!! cloning is a great way to get yourself in trouble- & the coder is not the one that will be in trouble either!!
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