Pulmonology Coding Alert
NPI Denials May Be From 1 Small Detail
Question: Maine Subscriber Answer: According to a CMS press release, many clearinghouses are stripping legacy numbers off of claims, but not all clearinghouses have done so. -- The answers to the Reader Questions and You Be the Coder were provided and reviewed by Alan L. Plummer, MD, professor of medicine in the division of pulmonary, allergy, and critical care at Emory University School of Medicine in Atlanta; and Carol Pohlig, BSN, RN, CPC, ASC, senior coding and education specialist at the University of Pennsylvania department of medicine in Philadelphia.
Pulmonology Coding Alert
- Align Your CPAP Diagnoses and Diagnostic Test Requirements With CMS's New Ways
Your physician's HST notes, test orders will need to contain these itemsThanks to two Medicare [...] - Checking Sleep Apnea? Make Coding as Easy as 1, 2, 3
Stick with attended sleep studies to ensure paymentYou can bolster your polysomnography and sleep testing [...] - You Be the Coder:
Billing Walk Test and E/M Service
Question: A patient completes a six-minute walk test in our office, then the pulmonologist interprets [...] - Reader Questions:
Rely on 'Unlisted' for MIP and MEP Testing
Question: What codes should I submit for MIP and MEP tests?Oklahoma SubscriberAnswer: The pulmonologist checks [...] - Reader Questions:
Look to 76942 for Radiologic Guidance
Question: My physician has begun using radiologic guidance during paracentesis and thoracentesis procedures. How should [...] - Reader Questions:
Check for Bundles Before Coding Complete PFT
Question: We received a superbill for a "complete PFT" with multiple codes marked. These procedures [...] - Reader Questions:
Check With Facility Before Choosing POS
Question: I'm new to billing for a physician who visits patients in nursing facilities. What [...] - Reader Questions:
25 or 59 Depends on Distinguishing the Work
Question: Reporting modifiers with E/M service during a pulmonary function test (PFT) always confuses me. [...] - Reader Questions:
NPI Denials May Be From 1 Small Detail
Question: I applied for my NPI early, put it on my claims by the deadline, [...]
