raidaste
Guest
I need some outside opinions please.
I code for a hospital owned Women's health clinic. Since I have taken over the preventative well women visits for Medicare patients have changed because the person before me coded the visits as reg office visits and then pap collections. The physician is completing comprehensive ROS/PMFS, exams and not really addressing co-morbid conditions unless the pt also has a complaint. I usually charge for the 9939x, Q0091 (if pap collected) and G0101 and for commercial payers I charge the 9939x and Q0091 (these are estab pts). We have obviously had calls from the Medicare pts because they are rec'g bills and we do notify them ahead of time that MCR does not cover preventative visits but we don't obtain ABN's because these are statutorily excluded srvs.
Where can I find in writing that this is not accurate and that doing this was is wrong?
This is what they are wanting me to do:
EX: Medicare - 9939x - 200.00 Q0091 - 20.00 G0101 - 70.00 = 290.00
Commercial - 9939x - 270.00 Q0091 - 20.00 = 290.00
I don't think this is right but would like some feedback please
I code for a hospital owned Women's health clinic. Since I have taken over the preventative well women visits for Medicare patients have changed because the person before me coded the visits as reg office visits and then pap collections. The physician is completing comprehensive ROS/PMFS, exams and not really addressing co-morbid conditions unless the pt also has a complaint. I usually charge for the 9939x, Q0091 (if pap collected) and G0101 and for commercial payers I charge the 9939x and Q0091 (these are estab pts). We have obviously had calls from the Medicare pts because they are rec'g bills and we do notify them ahead of time that MCR does not cover preventative visits but we don't obtain ABN's because these are statutorily excluded srvs.
Where can I find in writing that this is not accurate and that doing this was is wrong?
This is what they are wanting me to do:
EX: Medicare - 9939x - 200.00 Q0091 - 20.00 G0101 - 70.00 = 290.00
Commercial - 9939x - 270.00 Q0091 - 20.00 = 290.00
I don't think this is right but would like some feedback please
