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    Wiki TX Medicaid Managed Plans & Modifiers

    Does anyone know which Texas Managed Medicaid plans require the U1 & U2 modifiers? TIA
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    Wiki CODING OPPORTUNITY

    I have a part-time, remote opportunity for an OB/GYN coder. Must have three years of experience. Send resume to lisa@affordify.com if interested.
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    Wiki H&Ps and Anesthesia

    Hi everyone, I'm trying to explain to my providers why we may not bill 99201 with anesthesia CPT codes. I have provided the following link from NCCI: http://www.aana.com/resources2/quality-reimbursement/Documents/CHAP2-CPTcodes00000-01999_FINAL01012015_103114.pdf I've explained that it's...
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    Wiki H&Ps and Anesthesia

    Hi everyone, I'm trying to explain to my providers why we may not bill 99201 with anesthesia CPT codes. I have provided the following link from NCCI: http://www.aana.com/resources2/quality-reimbursement/Documents/CHAP2-CPTcodes00000-01999_FINAL01012015_103114.pdf I've explained that it's...
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    Wiki Two Anesthesia Events Same Day

    Patient had a cerclage removal in the morning under MAC anesthesia, because she was in labor. An epidural was given later that day, and the patient gave birth. Insurance only allows for one anesthesia event per day. What is the correct way to bill this?
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    Wiki How do you handle this in your office?

    How does your office handle it when they receive incomplete charts from providers? Some examples: The start and/or stop time is not on the chart. There is no diagnosis on the chart. There are no anesthesia providers listed on the chart. If the above information is not on the actual chart...
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    Wiki Anesthesia Documentation Help

    We recently took on several new providers. One of the anesthesiologists wants to submit a spreadsheet of his cases rather than his actual charts. Is it compliant to code from a spreadsheet? ***UPDATE*** Provider is submitting his charts for coding. Whew!!!
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    Wiki Documentation question

    If you were told to code from a spreadsheet created by an anesthesiologist, would you feel comfortable with this? You would only receive the spreadsheet listing the patients' names, some of the surgeons' CPT codes and diagnoses (some are codes & some are not). No face sheets from facilities and...
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    Wiki Is this separately billable?

    We have an anesthesiologist who wants us to bill separately for an IM injection with meds for pain & post-op nausea. Isn't the administration of meds included in the anesthesia service? Per the NCCI edits I read, this would be unbundling unless I didn't read that correctly. Of course, now I...
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    Wiki Documentation

    Fellow Anesthesia Coders, do you get all you need in your documentation to accurately code for ICD-10? There's been a suggestion in my office to code from the facilities' face sheets. It's been my understanding that we are to only code from our providers' documentation. What do you do when...
    • LisaAlonso23
    • Thread
    • anesthesia code documentation facilities office
    • Replies: 0
    • Forum: Anesthesia
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    Wiki 96372 following anesthesia

    Anesthesia Resources What are your most reliable resources for information when you have coding questions?
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    Wiki BTL following vaginal delivery

    Does anyone have any documentation regarding the proper way to bill out anesthesia for a BTL directly following a vaginal delivery? I've been looking for quite some time and have come up with nothing. Thank you in advance for your help.
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    Wiki Labor & Delivery

    My company just changed its policy for billing vaginal deliveries. When an MD & CRNA start the epi, we bill 01967 with the base units and the time. Now, if there's a shift change while treating this patient, we are to bill only the time for the new shift. Has anyone done this? I haven't heard...
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    Wiki 64416 & Daily Pain Management

    Dr administered brachial plexus nerve block with a continuous catheter (64416) & wants me to bill for three days of daily pain management that followed. This procedure was done as a secondary procedure to manage the post-op pain. He documented that he called the patient those three days. 64416...
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    Wiki Ethics Question

    How would you handle this scenario: A dr presents you with a patient's EOB stating she was only reimbursed $100 for this claim and asks how it can be coded differently for a higher reimbursement. I was taught that we're supposed to code what they do and only query doctors when necessary to...
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    Wiki Debility & Muscle Weakness

    Can someone please clarify: If muscle weakness is a symptom of debility, isn't it incorrect to list debility and muscle weakness as diagnoses for the same patient or is there more to it? Thank you in advance.
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