supporting documentation

  1. J

    Wiki OIG Audits of high risk diagnosis groups

    In recent audits of Medicare Advantage plans, the OIG has included codes for lung, breast, prostate, and colon cancers. In the report, they state that many of the cancer codes were not supported because the patient "did not have surgical therapy, radiation treatments, or chemotherapy drug...
  2. M

    Wiki Documentation requirements for billing remote patient monitoring?

    Hi all, I'm new to reimbursement regarding remote patient monitoring (CPT codes: 99453, 99454, 99457, 00458 and 99091). What documentation from the patient record are payers wanting to be included with claim? TIA
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