by Medical Billing | Apr 4, 2012 | CPT modifiers
Prolonged services codes can be billed only if the total duration of all physician or qualified NPP direct face-to-face service (including the visit) equals or exceeds the threshold time for the evaluation and management service the physician or qualified NPP provided...
by Medical Billing | Mar 30, 2012 | CPT modifiers
CPT-4 Code 99355 To report additional prolonged outpatient E&M services, CPT-4 code 99355 (each additional 30 minutes) must be billed in conjunction with code 99354. Billing Calculations CPT-4 codes 99354 and 99355 are subject to the least restrictive frequency...
by Medical Billing | Mar 27, 2012 | CPT modifiers
1. ACCELERATE YOUR NON FACE-TO-FACE PROLONGED SERVICES Prolonged service without direct patient Contact Prior to 2017, prolonged service without patient contact CPT codes 99358 & 99359 were not separately payable, and were included for payment under the related...
by Medical Billing | Mar 23, 2012 | CPT modifiers
Proposed meaningful use timeline changes encourage adoption of EHRs In response to significant input from multiple stakeholders, expert testimony, and countless hours of review, analysis and deliberation, the Department of Health & Human Services (HHS) announced...
by Medical Billing | Mar 22, 2012 | CPT modifiers
First Coast Service Options Inc. (FCSO’s) performed analysis on the use of the KX modifier. Data indicates a pattern where some providers are submitting the KX modifier prior to the beneficiary’s therapy cap being reached. For the first month of calendar year 2012,...
by Medical Billing | Mar 17, 2012 | CPT modifiers
CPT-4 Code 99357 To report prolonged inpatient E&M services, CPT-4 codes 99357 (each additional 30 minutes) must be billed in conjunction with code 99356. Billing Calculations CPT-4 codes 99356 and 99357 are subject to the least restrictive frequency limitation as...
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