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  • 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


















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