Part B Insider (Multispecialty) Coding Alert
BEWARE OUT-OF-STATE PRESCRIPTIONS
Beware of writing a prescription for a patient living in another state, especially if you're not licensed in the patient's state. You could be opening up a massive can of worms, warns attorney Wayne Miller. "Really, doctors have to look both at the jurisdiction they're licensed in and the jurisdiction they're prescribing in," he notes.
State laws may differ on whether a doctor can issue a refill for patients whom she's seen for years without seeing the patient once again, notes attorney Robert Markette. But if a patient has moved to another state and keeps insisting on receiving a prescription refill from his old doctor, "the doctor has to wonder why the patient hasn't found a local doctor." It becomes less likely that he knows "for a fact you need this medication."
Part B Insider (Multispecialty) Coding Alert
- EVALUATION & MANAGEMENT:
No E/M Coding Changes Until 2006
Clinical examples are too subjective to please CMS auditors Don't throw away your calculator yet. [...] - PRESCRIPTIONS:
Beware Of Compliance Hurdles In Brave New E-Scrip World
The Medicare Modernization Act calls for the Centers for Medicare & Medicaid Services to encourage [...] - BEWARE OUT-OF-STATE PRESCRIPTIONS
Beware of writing a prescription for a patient living in another state, especially if you're [...] - DIAGNOSIS CODES:
Use New Decubitus Ulcer ICD-9 Codes For 15999 Claims
At last,a way to explain ulcers that aren't bed sores Billing for excision of decubitus [...] - HIGH-END BILLING PUTS YOUR MEDICAL RECORDS ON THE LINE
Feds see through alleged cover-up at KY clinic If your billing patterns stick out from [...] - MODIFIERS:
Don't Throw Away E/M Reimbursement On Last-Minute Decisions
Follow these guidelines to get paid for -57 modifier Surgeons are throwing away reimbursement for [...] - Steer Clear Of Keeping Payers In The Dark
Biller faces fraud charges for allegedly skewing the facts on claims Fraud fighters keep cracking [...] - MODIFIERS:
Consider Using Time-Based Billing For E/M Visits With Modifier -57
Remember the 50-percent rule and you'll come out ahead. An evaluation and management visit in [...] - Part B Coding Coach:
Want To Make $43 More Per E/M Visit?
4 steps help you avoid unnecessary downcoding If you underestimate your physician's medical decision-making, you [...] - PHYSICIAN NOTES:
Non-Compliant CMNs Place You At Risk
Latest physician-supplier scam allegedly billed Medicare $3.7 million Before you sign a certificate of medical [...]
