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Troykall1's latest activity
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TTroykall1 replied to the thread Wiki Can we give injections/vaccines to patient when the provider is virtual.I reviewed the split claim suggestion given here on the forum with our Medicaid rep and she said that they would except the split claim since our clinic is staffed with midlevel and oral MD providers. I now have to get the other providers that I...
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TTroykall1 reacted to ecurtis's post in the thread Wiki Can we give injections/vaccines to patient when the provider is virtual with
Like.
Injections and vaccines fall under incident to. If there isn't a provider in the building during the visit to bill under, you don't meet incident to guidelines and can't bill. -
TTroykall1 replied to the thread Wiki Can we give injections/vaccines to patient when the provider is virtual.Thank you! I am going to speak to our providers and make sure they are comfortable with me splitting the claim, I think may be the solution for us.
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TTroykall1 reacted to debradwright's post in the thread Wiki Can we give injections/vaccines to patient when the provider is virtual with Like.
I had a similar situation when I coded for a hospital in Alaska, the providers would be on site and the patients would be at home. The provider would order a UA/lab/vaccine/etc for the patient to be done same day. We had to manually split the...
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TTroykall1 reacted to lbortzfield's post in the thread Wiki Can we give injections/vaccines to patient when the provider is virtual with Like.
We split bill the claim, the E/M with POS 02 and the vaccine/injection/testing with POS 11 on different claim, with nurse that performed as Actual provider and ordering physician as billing provider.
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TTroykall1 reacted to cnjacobs15's post in the thread Wiki Can we give injections/vaccines to patient when the provider is virtual with Like.
I apologize for the delay! we do not bill 99211. We bill injection/admin codes only. We have a NCNUR "charge" that comes over but it has a$0 charge and does not go out on the claim and i believe you should be able to bill under the same NP.. the...
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TTroykall1 replied to the thread Wiki Can we give injections/vaccines to patient when the provider is virtual.Thank you for responding, we are really struggling with this. We did think about just billing them as POS 11 but I reached out to Colorado Medicaid and they said that if the provider is off site then we would have to bill the E/M as POS 2. So we...
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TTroykall1 replied to the thread Wiki Can we give injections/vaccines to patient when the provider is virtual.Thank you so much! I was thinking we were the only ones out here doing this. We currently have a policy that we only see PrEP for HIV, walk in STI testing, and sick visits on the virtual days, no injections. We would love to do vaccines at the...
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TTroykall1 reacted to cnjacobs15's post in the thread Wiki Can we give injections/vaccines to patient when the provider is virtual with Like.
We have a provider that is completely telehealth and her patients come into the office.. When the provider orders vaccines during the telehealth appointment for the nurse to administer we have the front desk schedule a separate "nurse visit"...
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TTroykall1 reacted to ambernic76@yahoo.com's post in the thread Wiki Can we give injections/vaccines to patient when the provider is virtual with Like.
I'm wondering if you should be billing with POS 11. Per CPT guidelines, administration can be done by physician or qualified health care professional. I believe it is okay to perform the injection when the provider is not in the office as long as...
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TTroykall1 reacted to TThivierge's post in the thread Wiki Too many DX Codes for Medicare? with Like.
Hi KKorn :) This looks like clean claim none of the Dx.codes are in conflict to because Excludes Rule 1 if occurred. Each area of body mentioned above hip, stiff elbow, foot drop can be affected by dx G35. All dx. are permissible as long as...
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TTroykall1 reacted to kkornkven167's post in the thread Wiki Too many DX Codes for Medicare? with Like.
I have a physical therapist wanting to submit a claim to Medicare with 6 DX codes for their evaluation (97163 GP & 97110 GP). Their primary diagnosis is G35 (MS) but the provider has also added M21.372, M54.6, M54.59, M25.552, M25.562. I am...
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TTroykall1 replied to the thread Wiki Too many DX Codes for Medicare?.ICD Diagnosis Code Requirements Introduction -Here is a link to CMS FAQ on ICD. Electronic claim submission you can have up to 19 ICD codes per claim.
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TTroykall1 posted the thread Wiki Can we give injections/vaccines to patient when the provider is virtual in Billing/Reimbursement.We are a HIV/STI clinic in Colorado and we have providers who are virtual to our clinic once a week. The patients still come to the clinic but the provider is virtual on screen in the exam room. If the provider orders vaccines we have been...
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TI would not collect more than the primary deductible amount. That should be the limit of the patient's liability.