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Nurse visit usage crackdown key part of April CCI changes

Be careful when billing a nurse E/M visit (99211) along with a venipuncture blood draw (36415) or EKGs (93000-93010) starting April 1. All of these code pairs are new CCI edits subject to a bundling denial of the nurse visit, though CCI will allow you to use a modifier to bypass the edit. These services would typically not be paid unless the nurse visit was for something other than the EKG or the blood draw. If they are for the same service, it would be considered to be double-billing. He...

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MACs may change the way electronic payments are issued, processed

Medicare already required its Medicare Administrative Contractors to pay you via electronic funds transfer (EFT) in most instances. But a recent policy change that requires all private insurance plans to offer EFT may result in tweaks to how the MACs pay as well. In transmittal 135 to its One-Time Notifications Manual, CMS instructed the MACs to follow the same standard EFT payments required of private payers under the CAQH CORE EFT/ERA Operating Rules that take effect July 7. Ultimately,...

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Have Some Extra Cash You'd like to Send to the Government?

No it isn’t tax time. But failing to follow Medicare rules when submitting claims could result in a paycheck for Uncle Sam. In fact, you could have to return money that you've already collected from the government. I know three practices that have done that this year, and all for the same reason. What was the reason? Billing for student services. What kind of students? Nurse practitioner and physician assistant students. Students are not licensed and enrolled in Medicare or in any other ...

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ICD-10 Session 8 - Chapter Three
Nancy Maguire
CMS: Lot of errors billing psychotherapy services when E/M visit is involved
Scott Kraft
ICD-10 Session 9 - Chapter Four - Endocrine, Nutritional and Metabolic Disorders
Nancy Maguire
Consult Documentation Guidelines
Jeannie Cagle, BSN, RN, CPC
ICD-10 Session 10 - Chapter Five - Mental and Behavioral Disorders
Nancy Maguire

re: E/M code 99214 and 20605 code
by CodapediaMsgBoard
Fri, Oct/31/2014 10:54PM
re: DOS for 93272
by CodapediaMsgBoard
Fri, Oct/31/2014 10:52PM
re: Can a dr. Code an ov if he sends the pt to the ER and then gets admitted? Note: Dr. Does not have priveleges at hospital.
by CodapediaMsgBoard
Fri, Oct/31/2014 10:45PM
Can a dr. Code an ov if he sends the pt to the ER and then gets admitted? Note: Dr. Does not have priveleges at hospital.
by Eswan
Fri, Oct/31/2014 02:11PM
popliteal to dorsal pedis bypass
by kfpowe
Fri, Oct/31/2014 11:22AM
re: Billing 99211 for an immunization
by Codapedia Editor
Fri, Oct/31/2014 08:28AM

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