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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...

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Right Heart Catherization & Endomyocardial Biopsy

This is new on the 2014 OIG workplan.  If you perform heart transplants in you institution you may want to review your policies and procedures.  Make sure that your procedures are accurately documented.  If you perform both procedures and use the -59 modifier your report should reflect the results from both procedures....

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Yet another new auditor looking at Part B claims

Recovery Audit Contractors (RACs) may be about to take a break while CMS awards new contracts, but don’t rest on your laurels. CMS has handed out yet another auditor contract for a single auditor, known as a Supplemental Medical Review Contractor (SMRC) to do nationwide claims reviews for issues identified as being at risk for high dollar errors. For Part B providers, the biggest target the new auditor, Strategic Health Solutions of Omaha, Neb., has identified is E/M claims billed with ...

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ICD-10 Session 1 - Make Ready Before Hand
Nancy Maguire
Tell tale clues that your scribe is in disguise
Betsy Nicoletti
Cloned documentation on OIG radar screen in 2014
Scott Kraft
ICD-10 Session 2 - How is ICD-10 Organized?
Nancy Maguire
ICD-10 Session 3 - Symbols, Conventions and The Ground Rules
Nancy Maguire

re: skin biopsy question
by lkwilliams
Tue, Jul/29/2014 05:33PM
re: CPT
by lkwilliams
Tue, Jul/29/2014 05:24PM
by mari8387
Tue, Jul/29/2014 03:44PM
skin biopsy question
by npott1
Tue, Jul/29/2014 02:08PM
CPT® 63286
Tue, Jul/29/2014 11:57AM
by KristaDutra
Tue, Jul/29/2014 11:56AM

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