Remote Patient Monitoring Billing

Anybody that has been billing 99453, 99454, 99457 for RPM that can email me so I can get some clarification on billing out these codes. Please shoot me an email to herbie@up2parmc.com.

* This article was originally published here

NEW or ESTABLISHED PATIENTS IN A GROUP PRACTICE

This is a group practice with Obgyn and Maternal Fetal Medicine subspeciality.
Patients are scheduled among the 4 office locations depending on their medical needs.
The doctors circulate among the 4 locations
There is one central EMR with patients database.
Each facility has its own identifying tax id.

Questions:

1. Patient goes to Ultrasound A has a face to face with a MFM specialist for a consult. The following week the patient goes to OB office for an...

Read more

* This article was originally published here

ER Wound Re-Check/MDM

Hi All,

I have two questions relating to ER's. The first is- If a patient comes in for a uncomplicated wound re-check and is seen by Dr. B but the simple suture repair (12001) was performed by Dr. A, could a ER visit be charged since a different ER provider saw the patient? This leads me to my second question.

On my E/M Audit tool, on Table A, it states New Problem to Examiner. However, I've seen different information regarding this especially for same specialty providers. Since...

Read more

* This article was originally published here

50, QW, RT LT modifers for BCBS

So all my procedures and pregnancy tests are being rejected by my clearing house :
Using 50 modifier: 64494 Acknowledgement/Rejected for Invalid Information-The claim/encounter has invalid information as specified in the Status details and has been rejected - Procedure Code Modifier(s) for Service(s) Rendered (64494)
Using QW: 84703 Acknowledgement/Rejected for Invalid Information-The claim/encounter has invalid information as specified in the Status details and has been rejected -...

Read more

* This article was originally published here

CRC Credential

I am very pleased to join the ranks of those who have gone before me and obtained the Certified Risk Adjustment Coder credential. I will happily affix "CRC" to my signature block.

* This article was originally published here

central venogram w balloon angioplasty of SVC

I am only asking for opinion for procedure 1.
I think 36010,75827, 37248 ?

EXAM:
1. Central venogram with balloon angioplasty of the SVC
2. Removal of left-sided portacatheter
3. Implant of new right-sided portacatheter

HISTORY: SVC syndrome
Intravenous conscious sedation was administered by a dedicated
independent observer with continuous hemodynamic and respiratory
monitoring performed, including the use of pulse oximetry...

Read more

* This article was originally published here

2021 E/M Office visit if patient is not present

Hello,

I need some assistance, Can we code/bill E/M office visit if patient is not present?

Thank you,
M

* This article was originally published here