Internal Medicine Coding Alert
Count on These PQRI Resources
Question: We are trying to code for the Physician Quality Reporting Initiative (PQRI), but we've got several questions about how to do it properly. Are there any resources that can help us? Texas Subscriber Answer: PQRI reporting can be tricky, especially at first. Discovering which measures are relevant to your internist can take time, and once you do decide which measures to report, coding questions will inevitably surface. Here are the best PQRI Web sites for coding information and instruction. Medicare PQRI handbook: http://www.cms.hhs.gov/PQRI/Downloads/2008PQRICodingforQualityHandbook.pdf Medicare PQRI specifications document: http://www.cms.hhs.gov/PQRI/Downloads/2008PQRIMeasureSpecs.pdf Medicare PQRI FAQ: http://questions.cms.hhs.gov/cgi-bin/cmshhs.cfg/php/enduser/std_alp.php?%20p_pv=3.945&p_prods=8%2C61%2C945&p_cats=&p_hidden_prods=&prod_lvl1=8&prod_lvl2=61&prod_lvl3=945 Medicare PQRI main page: AMA PQRI Quality Measures page (This site contains downloadable data collection sheets for each PQRI measure): http://www.ama-assn.org/ama/pub/category/17493.html. -- Answers to You Be the Coder and Reader Questions were reviewed by Bruce Rappoport, MD, CPC, CHCC, a board-certified internist and medical director of Broward Health's Best Choice Plus and Total Claims Administration in Fort Lauderdale, Fla.
Internal Medicine Coding Alert
- CCI 14.1 Update:
Limit Nebulizer Treatment to 94640 or 94644
These 3 must-have edits prepare you for strapping, nebulizer, E/M denials No fooling: The new [...] - Shared Visits Can Net 15% More on Some E/Ms
Medicare allows NPP, internist to combine forces for some hospital servicesIn the office setting, incident-to [...] - On the Cutting Edge:
This FAQ Gives You Unna Boot Ins and Outs
Catch this: CPT code 29580 has 0 global days To find out the precise guidelines [...] - YOU Be the Coder!:
Use G Code for Some Dermabond Repairs
Question: The internist treats an established patient with a cut on her lip. Using Dermabond, [...] - Reader Questions:
ICD-9 Code Choice Depends on Apnea's Cause
Question: The internist performs a level-two E/M on a new patient. The medical record indicates [...] - Reader Questions:
Check for Other Screenings, Then Code G0121
Question: We've scheduled a 68-year-old Medicare patient for an average-risk colonoscopy screening. He has never [...] - Reader Questions:
Code Well Portion, Asthma Treatment Separately
Question: After receiving a preventive medicine service, an established patient has an asthma attack, which [...] - Reader Questions:
E/M Not Possible When Session Is for Training Only
Question: An established patient with acute bronchitis reports to the internist's office for a scheduled [...] - Reader Questions:
Separate Certain Services From Critical Care
Question: The physician provides 80 minutes of critical care for a patient in cardiac arrest. [...] - Reader Questions:
Count on These PQRI Resources
Question: We are trying to code for the Physician Quality Reporting Initiative (PQRI), but we've [...]
