Consult Documentation Guidelines
By Jeannie Cagle, BSN, RN, CPC
For those practices that bill consultation codes, the guidelines can be confusing. Yet, it is worth taking the time to learn the rules to get the additional reimbursement paid for consultation codes over new patient codes. Remember the following:
· There must be written documentation in the chart from the physician practice requesting the consult. You can have them fax a request or the patient...
Anesthesia Billing for CRNAs
A timely topic if ever there was one! This issue continues to be a source of confusion to physician offices, billers, hospitals, and insurance companies, too. A Certified Registered Nurse Anesthetist (CRNA) is an advanced practice nurse who is an anesthesia specialist and may administer anesthesia independently or under physician “medical direction” or “supervision.” CRNAs have been practicing in the United States since the civil war, and were the first nur...
Subsequent Observation Services
CPT® released three new E/M services in 2011, to be used for the second and subsequent days that a patient is in observation status in the hospital.
The codes are 99224--99226 and they are out of sequence in the CPT® book. They require the same level of documentation as the three subsequent hospital visits.
99224 requires 2 of 3 of a problem focused interval history, problem focused exam and straightforward or low medical decision making. The typical time is 15 min...