Archive for The Day of April 20th, 2006
Archive for the Day of April 20th, 2006
Welcome to the medical billing blog archive for the day of April 20th, 2006.
Here you will find links to every article added to the Outsource Management Group web site during April 20th, 2006.
You can browse this day's archives by clicking the "More" button from any of the excerpts below.
Three Questions Solve IM Injection Medical Billing Challenges
CPT 2006 injection administration coding instructions require that you verify the OB-GYN’s involvement in order to report 90772, or in order to submit the non physician performed procedure as 99211, or it could depend on the payer’s incident-to policies, and possibly be returned to you as a no charge. To determine which code applies to injection administration, you need to ask yourself three questions. 1. Is the Doctor in the office and available during the injection? If the answer is yes, the OB-GYN provided direct supervision throughout the subcutaneous or intramuscular injection, then you can report 90772 (which is therapeutic, prophylactic or diagnostic injection (specify substance or drug); subcutaneous or …
3 Ways to Ease Modifier 25 On Your Medical Billing Claims
The AMA provides some helpful clarification on when to append modifier 25 in CPT 2006, but you might still need a little more information on how to ace those claims. Here are three tips to help you out. Report only significant services. In order to gain separate payment for an E/M service, the physician provides at the same time as he or she provides another service or procedure, the E/M service must be significantly and separately identifiable. All procedures include an inherent E/M component according to CMS guidelines. Any E/M service you report beyond that must be above and beyond what is normally included with that procedure or service. Always …
