Good Faith Effort Warrants Level 5 E M - AAPC Knowledge Center “The caveat is a CPT exception unique to emergency medicine 99285 services It provides an exception to the E M content requirements when the physician is unable to obtain the required information,” explains Caral Edelberg, CPC, CPMA, CCS-P, CHC , president of Edelberg Compliance Associates in Baton Rouge, La to ED Coding Alert
Wiki Disclaimer for typographical errors?? - AAPC We are using Dragon speech recognition software to dictate in our EMR There are sometimes typographical errors One physician has begun to include a disclaimer of sorts at the conclusion of his note stating: "Note is dictated utilizing voice recognition software Unfortunately this leads to
ED Coding and Reimbursement Alert - AAPC Caveat: Physicians should realize the gravity of documenting “all other systems negative”, warns Todd Thomas CPC, CCS-P, President of ERcoder, Inc in Edmond, OK “All other systems negative” is often interpreted to mean that the physician has performed a review
Confirmed: Billing Provider Must Document the HPI - AAPC Again, the caveat here, though, is that the physician decides what gets to be documented as the final HPI for the work-up of this encounter I’d have a real problem if the nurse documented the HPI and the physician simply just agreed with it without having any evidence that the physician did more than read it
Bill 2nd Opinions 2 Ways : READER QUESTIONS - AAPC Caveat: In some rare cases, you may encounter a physician-generated second-opinion request that can qualify as a true consultation According to CMS Transmittal 788, dated Dec 20, 2005, -In a facility setting, a second-opinion consultation arranged through the attending physician shall be reported by a physician qualified NPP using an
Look to New Plane Block Code for 2025 : Orthopedic Coding - AAPC X-ray caveat: The above example features coding for the X-ray, but the surgeon might not be able to code for it Whether or not the orthopedist is reimbursed for interpretation of the X-ray depends on facility protocol
Is 49585 Billable with 55866? : You Be the Coder - AAPC Caveat: When performing laparoscopic surgery and then at the same encounter also openly repairing a ventral hernia as you implied in mentioning code 49585 (Repair umbilical hernia, age 5 years or older; reducible), these procedures should be separately billable
Psychiatry Coding Reimbursement Alert - AAPC Caveat: As per guidelines laid down by CMS, you cannot use +90785 solely for any translation or interpretation services that your clinician might use during the delivery of a psychiatric service, as it amounts to higher beneficiary payments
Modifiers 52 and 53 vs. 73 and 74 - AAPC Knowledge Center It is important to know that Modifier 53 and Modifiers 73 and 74 are very different Modifier 53 has the caveat that the procedure was discontinued due to the well-being of the patient after the induction of general anesthesia Whereas modifiers 73 and 74 have no requirement that the patient’s well being be tied to the procedure’s
Use E M Code for Patient-Generated Second Opinion : Reader Questions - AAPC Caveat: In some rare cases, you may encounter a physician-generated second-opinion request that can qualify as a true consultation According to CMS Transmittal 788, dated Dec 20, 2005, “In a facility setting, a second-opinion consultation arranged through the attending physician shall be reported by a physician qualified NPP using an