Part B Insider (Multispecialty) Coding Alert
Start Billing For Diabetes Self-management Training
Medicare will cover 10 hours of initial self-management training for a patient diagnosed with diabetes, and another two hours per year after that, according to Transmittal 1158 (CR 5433). You should bill using G0108 or G0109 with Type of Bill 73X.
In other recent transmittals:
- Don't use Category III code 0091T for lumbar artificial disk replacement (LADR) starting Jan. 1. Instead, you should be using new CPT code 22857, according to Transmittal 1164 (CR 5462).
- If your zip code falls into more than one -payment locality,- you-ll have to start submitting nine-digit zip codes on your claims starting Oct. 1, 2007. Otherwise, you could be facing denials or delays in payment, warns Transmittal 1167 (CR 5208). In some cases, the five-digit zip code may mislead your carrier into believing your service happened in a different county.
- Starting Jan. 1, your carrier will apply a 25-percent copayment to colorectal screenings in the ambulatory surgical center (ASC) setting, says Transmittal 1160 (CR 5387).
Part B Insider (Multispecialty) Coding Alert
- CONSULTS:
Crackdown May Hit Your Subspecialty Consults Extra Hard
Use modifier 77 and make sure your diagnosis codes are different
Heads up: You may be [...] - PART B MYTH BUSTER:
Don't Let "Unacceptable" List Scare You Away From "V" Codes
Mistake: Listing preop "V" codes as primary without including secondary diagnosis
Myth: You can never use [...] - Feds Chairman Urges Steep Medicare Cuts
The right time to start slashing Medicare spending was -10 years ago,- Federal Reserve Chairman [...] - REIMBURSEMENT:
Benchmark Your Denials--Or Find Yourself Benched
Check by payor, site, procedure code and other factors
Watch out: Are you keeping track of [...] - Quality Guidelines Paid Off For Chronic Patients
Your practice could see a reimbursement boost--but also more quality guidelines--if a new study garners [...] - CARDIOLOGY:
Be Prepared To Fight For Reimbursement For 93508 With 92980
Don't use 93508 for "roadmap to stent placement"
Is your cardiologist receiving proper reimbursement for all [...] - Transmittal Roundup:
Start Billing For Diabetes Self-management Training
Medicare will cover 10 hours of initial self-management training for a patient diagnosed with diabetes, [...] - DIAGNOSIS CODING:
Urge Your Carrier To Expand 1500 Form To Recognize Multiple Diagnoses
Take advantage of larger space for diagnosis codes in July
Complex patients require more than a [...] - Part B Coding Coach:
Quiz--Is Your MD Guilty of This $650 CT Documentation Mistake?
When doctors jumble exam reports, auditors may target your claim
You know your physician's documentation isn't [...] - Part B Coding Coach:
Quiz Answers
Quiz Answers
Did you come up with the same answer as our coding expert?
If you had [...] - PHYSICIAN NOTES:
Solo Practices Fall Short With Heart-Attack Treatments
Is your doctor working well with others?
When it comes to preventing future problems and treating [...]
