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  1. C

    Wiki Office Based Procedure Billing

    I work with a surgeon who has started doing minor surgical procedures in his office, some of which require an anesthesiologist. I am trying to verify if the anesthesiologist can bill insurance separately for these, or if the fee that the surgeon receives is all inclusive, in which case he would...
  2. J

    Wiki Advance Care Planning - We use time based billing

    We use time based billing in our office. Does this make us exempt from using a CPT code and advanced care planning code together? IE: (We see nursing home patients) 99310 and 99497 is what's I'd like to use together - with all the proper documentation. If we are billing based off time can I use...
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    Wiki Why PCS?

    From my understanding, which is based off of .gov sites like AHIMA, CMS, HIPAA, AAPC, etc., outpatient coders won't have to learn ICD-10-PCS because it is only used in hospitals for inpatient coding. How come there are questions based on PCS coding on the CCA exam, and therefore, how would an...
  4. S

    Wiki Split/Shared Visits based on Counseling Time

    I am looking for any documentation from CMS regarding split/shared visits that states the service can be billed based on time when over 50% of the time spent by both the NPP and MD/DO was for counseling/coordination of care. Does anyone know of any references directly from Medicare? Thanks, Sue
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