Revenant health Care | Medical Billing and Coding Services US

Successful hashtag # chiropractic_coding and billing practices have a number of elements in common. They include savvy practice management, healthy accounts receivables, a properly trained staff, and the ability to properly code and document diagnoses – and that’s just for starters hashtag # ushealthcare hashtag # rcm hashtag # medicalbilling hashtag # doctors hashtag # healthcare hashtag # physicians

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Charge up your ECG documentation Physicians often use computer-generated electrocardiogram (ECG) reports as the baseline for their own interpretation and report. Computer-generated ECG reports, alone, do not meet the requirements to code and bill for the professional component of an ECG. The Centers for Medicare & Medicaid Services (CMS) requires a “separate” interpretation report and signature from the ordering provider. Additionally, applying modifiers to ECG codes inappropriately may lead to reimbursement challenges. ECG Medical Coding Services Routine ECG Reporting Services described by 93000-93010 generally involve placement of six leads on the patient’s chest, and another six leads placed between the patient’s extremities. The heart’s electrical activity generates a current that spreads to the skin; electrical activity sent from the sinoatrial node through the heart is traced/recorded and reviewed. You should not apply modifiers 26  Professional component ...

It is common for hospitalists to have advance care planning discussions and address advance directives with patients (and families) during an admission for a serious life-threatening condition or end-stage chronic disease. Medicare waives the coinsurance and the Medicare Part B deductible for ACP when: ● Provided on the same day as a covered AWV ● Furnished by the same provider as a covered AWV ● Billed with modifier –33 (Preventive Services) Voluntary ACP is considered a preventive service when billed with the AWV on the same day by the same provider, so CMS waives the deductible and coinsurance for ACP. When AWV is medically necessary and billed with ACP, but the AWV is denied for exceeding the once-per-year limit, payment can still be made for the ACP. In that case, CMS applies the deductible and coinsurance to the ACP service. The deductible and coinsurance DOES apply when ACP is provided outside the covered AWV. NOTE: Critical Access Hospitals (CAHs) may bill for ...

For assistant-at-surgery services performed by physicians , the fee schedule amount equals 16 percent of the amount otherwise applicable for the surgical payment. MACs may not pay assistants-at-surgery for surgical procedures in which a physician is used as an assistant at-surgery in fewer than five percent of the cases for that procedure nationally. This is determined through manual reviews. Procedures billed with the assistant-at-surgery physician modifiers “-80” (Assistant Surgeon), “-81” (Minimum assistant surgeon), “-82” (Assistant surgeon (when qualified resident surgeon not available)), or the AS modifier (physician assistants, nurse practitioners and clinical nurse specialists), are subject to the assistant-at surgery policy. Accordingly, Medicare pays claims for procedures with these modifiers only if the services of an assistant-at-surgery are authorized. Medicare’s policies on billing patients in excess of the Medicare allowed amount apply to assistant-at-surger...