Recent content by mchambers1279

  1. M

    Wiki PA from a surgical practice doing surgery at the Hospital

    The composite board is very vague on what and what not a PA can do from a surgical practice. We have a PA that is doing more and more surgery. He is performing the surgery, documenting himself as the surgeon and saying that the MD was supervising. Now he has ventured into surgery under General...
  2. M

    Wiki Biometric Screening billing

    Bio metric screenings are actually part of a yearly physical. The blood work and limited exam that is necessary is done routinely for a yearly physical. This is how we handle them. We either schedule the patient for the yearly preventative physical and, then we fill out the paper work free of...
  3. M

    Wiki MDM - Prescription Management

    Generally there is some kind of rule within your coding establishment. For instance, in Family practice if you always use MDM for prescriptions being given. With the new EMR all patients would be a level 4. That is not realistic and will come back to bite you. When you get to the end of the...
  4. M

    Wiki Medical Necessity -vs- Prescription Drug Management

    I don't agree with some of the comments here. I feel like with the EMR. all Physicians can get a level 4 on most everything. A coder can't just go by a coding tool. and, if you do then you are at risk of a huge audit when your practice turns in 85% 99214 just because they gave a medication. I...
  5. M

    Wiki Coding the global if delivered at 18 weeks alive

    I hope someone can help with the debate that we have going. The patient was very high risk. was seen for a total of 4 times prenatally. went into labor and delivered an 18 week live fetus. the baby lived for about an hour. Out question is? can we code the global for this delivery. The physicians...
  6. M

    Wiki Ob global, how much

    Hello, I need some help, I have been coding OB for sometime, however the physician that I am coding for now insist that we code a Global even if the patient was seen 4 times and didn't come to our practice until 35 weeks pregnant. I know that the example always states about 13 visits, or once a...
  7. M

    Wiki Mary chambers, cpc

    Hi all, I am having a nightmare with coding for general surgeons. The surgeon said that he doesn't need to code co-morbidity unless it directly affects the surgery he is performing. Is this true? please help.
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