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Latest activity
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KKorbc replied to the thread new 2027 ob guidelines.i was wondering all this as well
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KHas anyone heard or have a reputable reference on how prenatal visits and problem visits are to be billed out? Most payers won't accept/pay for 2 E&Ms from the same provider/group practice on the same DOS/POS. If the patient has a separately...
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KKorbc replied to the thread inclusive to hysterectomy?.thanks! thats what i ultimately decided since it was incidental
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KI would say this is included in the hysterectomy. The sidewall was lacerated during the procedure and they didn't notice until they got to the recovery room.
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CCynthia Hughes replied to the thread Billing for MOCA Screening.The Montreal Cognitive Assessment (MoCA) is similar to a mini-mental status examination (Folstein). CPT instructs, "For dementia screens, [eg, Folstein Mini-Mental State Examination, by a physician or other qualified health care professional]...
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Mmarilynlgomes@gmail.com replied to the thread MOCA Test.did you ever figure this out? 96125 getting denied for missing pt or speech mod but were neuro
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Mmarilynlgomes@gmail.com replied to the thread Billing for MOCA Screening.Hi , running into the same issue. the 96125 was getting kicked back from the clearning house for missing therapy mod. did you find anything?
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Llvaughn0624 replied to the thread Past Medical History Coding.That is the rule I live by is if they do not have MEAT to support the diagnosis then I will not code it. I appreciate your feedback on this. I was not sure if there may have been something I was missing so I am glad I am on the right track with...
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Llvaughn0624 replied to the thread Past Medical History Coding.Thank you so much for your reply. I am glad I am not the only one that considers it confusing. I also do not code diagnoses listed in PMH unless there is supporting documentation showing the provider is actively treating the diagnosis. I...
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Llvaughn0624 reacted to charlenefunderburke24@gmail.com's post in the thread Past Medical History Coding with
Like.
M.E.A.T if it has not been Monitored examined assessed or treated you do not code it. That is how I review documentation and assess which dx to code. So, if the provider documents- pt not currently experiencing symptoms of PTSD or pt PMH is... -
LPTSD, while not being actively treated, is not a condition that resolves itself. I can understand the perspective of 'if PTSD is in the PMH then code it', and I've worked for a provider that had us do it that way. On the other hand, I'm current...
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Jjmartin84 posted the thread Procedure code incorrect-Inpatient billing in Medical Coding General Discussion.Hello, we have multiple payors denying claims stating the procedure code is incorrect for date of service. We are billing for an admit code when a patient is being transferred from an acute inpatient hospital to a rehab hospital. Do you know if...
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SWe are an ob/gyn practice and our CNM's see pt's under incident to currently. As of 9/1/26 BCBS/BCN are no requiring a modifier SA to be on our incident to billing claims. The SA modifier is for Nurse practitioners' and there is a modifier SB...
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Ssinman0531 posted the thread Education on "double dipping" across E/M leveling categories? in Compliance General Discussion.Hello! I work for a hospital as an audit and education specialist. I'm the one on the team responsible for the majority of the work of putting together in-service presentations. We are currently doing an E/M leveling series, and I am getting some...
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FHi, can you assist if 23929 is supported by op report attached please? 23515 + 76000 billed by primary and 23515 + 23929 + 76000 billed by assistant surgeon
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