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...
by Medical Billing | Mar 14, 2012 | CPT modifiers
Changes in Prolonged Services Codes The Medicare Claims Processing Manual has been updated to address prolonged services codes in order to be consistent with changes/deletions in codes and changes in typical/average time units in the American Medical Association...
by Medical Billing | Mar 10, 2012 | CPT modifiers
Prolonged Services CPT CODE AND Description CPT 99354 – Prolonged physician service in the office or other outpatient setting, requiring direct (face-to-face) patient contact beyond the usual service – first hour (List separately in addition to code for...
by Medical Billing | Mar 6, 2012 | CPT modifiers
Physician Standby Services (99360) Code 99360 is used to report physician standby service that is requested by another physician and that involves prolonged physician attendance without direct (face-to-face) patient contact. The physician may not be providing...
by Medical Billing | Mar 2, 2012 | CPT modifiers
The Medicaid provisions of the final rule for payment Medicaid EHR incentive program The final rule: Specifies payment amounts, the basis for payments, and the process for making payments including that there must be no duplication with Medicare for EPs;...
by Medical Billing | Feb 28, 2012 | CPT modifiers
The Medicaid provisions of the final rule for eligibile Medicaid EHR incentive program Eligibility The final rule: Discusses Medicaid EPs and eligible hospitals that may participate. EPs are physicians (primarily doctors of medicine and doctors of osteopathy),...
by Medical Billing | Feb 25, 2012 | CPT modifiers
CMS FINALIZES REQUIREMENTS FOR THE MEDICAID ELECTRONIC HEALTH RECORDS (EHR) INCENTIVE PROGRAM The Centers for Medicare & Medicaid Services (CMS) today announced the final rule to implement the provisions of the American Recovery and Reinvestment Act of 2009...
by Medical Billing | Feb 23, 2012 | CPT modifiers
Medicaid EHR Eligible Hospitals Hospitals eligible for Medicaid incentive payments are acute care hospitals, critical access hospitals, and children’s hospitals. Incentive payments to eligible hospitals are based on a formula in which a base incentive amount for all...
by Medical Billing | Feb 19, 2012 | CPT modifiers
Electronic Health Record (EHR) or Electronic Medical Record (EMR) A computerized record of a patient’s clinical, demographic and administrative data. Also known as a computer-based patient record. Sometimes people use the terms “Electronic Medical...
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