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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...
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    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
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    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...
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    Wiki inpt hosp for hospice

    we are a moderate size hem/onc practice that sees inpt as well as outpt. my question is: i know when the decision is made to switch the pt to hospice that is a high risk decision making- what about susbsequent hospital visits after the decision has been made? i've been putting those as 99233...
    • luvbuix
    • Thread
    • Replies: 2
    • Forum: E/M
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    Wiki simulation supervision

    we are a moderate sized oncology practice in an outpt hosp setting. we do verification of simulations the day prior to treatment on occasion but not the actual treatment. my questions are- what is the degree of MD supervision that needs to occur in these circumstances? resources tell us it...
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    Wiki coding companies

    we are a moderate size oncology practice which is hospital based. we are thinking of bringing on a surgical oncologist & will need someone to do our pro fee coding for that person. there are many coding companies out there. has anyone had positive experiences with these companies & if so...
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    Wiki Time Guidelines

    does anyone know of a reference that talks about stating specific time spent on EACH pt? i have a MD that has set up her templates according to time & all her time statements are canned. so- for all new pts her time statement is 60 mins, all her established pts are for 40 mins. i'm trying to...
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    Wiki split/shared visits

    i work for a moderate sized hospital based oncology practice. they have several APPs & want to start doing split/shared visits in the office. their plan is to have the APP do 20 mins of the appt & the MD 10 mins. the MD will be doing the MDM portion of the visit. according to Medicare's...
    • luvbuix
    • Thread
    • Replies: 1
    • Forum: E/M
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    Wiki see below- 3rd time trying for an answer

  10. L

    Wiki Isoloc Rectal balloon

    hi all! ? for anybody that does rad onc on a daily basis. we have a rep for the above mentioned item that's telling our rad onc people to bill this device every day under CPTs 77332-77334. from what i can see online this is just a prefab device & is discarded when tx is done. my rad onc people...
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    Wiki Isoloc Gas Release Rectal Balloon

    hi all! ? for anybody that does rad onc on a daily basis. we have a rep for the above mentioned item that's telling our rad onc people to bill this device every day under CPTs 77332-77334. from what i can see online this is just a prefab device & is discarded when tx is done. my rad onc...
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    Wiki DC charges

    HELP! i have a doc who does hosp d/c & puts no time down. we have been defaulting to 99238 but i'm wondering if we should default to whatever subseq hosp code fits since 99238 is not supported either? what does everyone else do??
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    Wiki G0296

    does anybody know if G0296 can be done as a telephone only visit? none of the resources i've seen say whether the pt. should be seen face-to-face or if counseling can be done on the phone. this was not telehealth- telephone only. any suggestions for resources would be helpful- thanks!
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    Wiki G0296

    does anybody know if G0296 can be done as a telephone only visit? none of the resources i've seen say whether the pt. should be seen face-to-face or if counseling can be done on the phone. this was not telehealth- telephone only. any suggestions for resources would be helpful- thanks!
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    Wiki telehealth vs telephone

    i have a question regarding telehealth vs telephone. i know the difference between the 2 but my question is this: is there a certain amount of time that the telehealth visit should be attempted or conducted before switching to telephone only if the connection goes down? one of my docs was on...
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    Wiki incident to provider based

    i work for a large oncology practice that has a hospital system doing their coding for them. the coding is provider based & the setting is an outpt clinic within the hospital. my question is: how is incident to handled in this situation? at this time the hospital is not billing incident to...
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    Wiki coding advocate

    does anybody know where would be the best place to find a coding advocate if you have questions about ethics & the things a provider may be asking you to do??
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    Wiki PVR documentation

    does anybody know what the documentation requirements are for the office note when a PVR test is done? We recently had one that had only the post void amount. There was no actual test result which also included the pre void amount.
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    Wiki setting fees

    does anyone out there have experience with setting fees for medical services? we are a small practice & want to update our fee schedule. is there a formula involving RVUs & conversion factors? we can't seem to figure it out!
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    Wiki Calculating procedure fees

    we are a small practice & would like to know what the formula is for calculating our charges for our fees. we want to update our fee schedule to make sure we are getting reimbursed enough. we currently use Encoder Pro which has RVUs & a conversion factor but we are not sure what to do with...
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    Wiki shoulder lysis vs debridement

    I have an MD from Orthonet trying to tell me to bill 29825 for lysis of shoulder adhesions when the op report states "we used an arthroscopic biter to incise the middle glenohumeral ligament & continued the capsular release through the anterior-inferior quadrant." Then they moved the arthroscope...
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    Wiki gluteus medius

    does anybody know what code to use for reattchment of a torn gluteus medius????
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    Wiki Modifier 55-Who out there

    Who out there has any experience with modifier 55? I want to know if we choose to use that code would we bill the surgical code with it for every visit? My example is: 27814-55.
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