CWTC [Episode 110] Modifier 95, R Codes for IRF PAI

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During the “Insiders” portion, Ms Digby tells about chronic kidney disease. During the regular session she completes those ideas providing coding options for various documentation details. Next, she addresses whether Modifier -95 must be used on all telehealth video visits or is it only for Medicare and Medicaid? Another questioner wonders about the potential for […]

CWTC [Episode 109] Venipuncture at RHC, IRF Etiologic, and Low Blood Sugar Reporting

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During the “Insiders” portion, Ms Heather Bryans tells why Valentine’s Day is associated with the heart and explains how to correctly report CAD and Heart Failure. Our first question is from a Rural Health Clinic, where Sandy wonders about billing for venipuncture to commercial insurance payers. Ramona asks for clarification on selecting the Impairment Group […]

Top Compliance Risks 2021

CWTC [Episode 108] Billing for “Caine” Drugs, COVID Reporting

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During the “Insiders” portion, Ms Digby discusses Seasonal Affective Disorder. She recommends an article from MDAnderson.org Congratulations to Shirley for winning the “mugging” for this episode. Dial in for the next Episode on February 15th beginning at 10:10 am Eastern (7:10 am Pacific). During the “Insiders” portion, Ms Digby discusses Seasonal Affective Disorder. She recommends […]

CWTC [Episode 107] CVAs and Billing Medicare for PT Services

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During the “Insiders” portion, Ms Bryans explains the OIG focus on strokes. In Episode 107 Heather Bryans speaks to a concern regarding CVA reporting in IRF. She also addresses physical therapy services and whether one can bill Medicare for those services performed by NPPs. Congratulations to Jodie for winning the “mugging” for this episode. Dial […]

CPT© Coding Update 2021

Physician Fee Schedule CY2021

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This final rule updates policies affecting the calculation of payment rates and includes misvalued codes. It also adds services to the telehealth list including a third temporary category for services added under the PHE, as well as certain other revisions to telehealth services. It also addresses direct supervision as it relates to interactive technology, payment […]

CWTC [Episode 106] Coding From the PAS, Reporting Visits by a Pharmacist in a Physician Practice

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In Episode 106 Paula Digby answers a concern about which documents may be used for coding in the IRF setting, specifically addressing the Pre-Admission Screen and the Plan of Care. Another topic is whether one can bill anything higher than 99211 for a pharmacist seeing patients in a physician practice.  Congratulations to Judy for winning […]

CWTC [Episode 105] COVID Vaccines

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In Episode 105, Paula Digby speaks to COVID-19 vaccines. These are the resources she mentions: https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/coronavirus-vaccine/art-20484859 https://www.cdc.gov/coronavirus/2019-ncov/vaccines/vaccine-benefits/facts.html https://www.fda.gov/emergency-preparedness-and-response/coronavirus-disease-2019-covid-19/pfizer-biontech-covid-19-vaccine https://www.ama-assn.org/practice-management/cpt/covid-19-cpt-vaccine-and-immunization-codes https://www.ama-assn.org/practice-management/cpt/covid-19-cpt-coding-and-guidance https://www.ama-assn.org/practice-management/cpt/covid-19-cpt-vaccine-and-immunization-codes Dial in for the next Episode on January 11th beginning at 10:10 am Eastern (7:10 am Pacific). In Episode 105, Paula Digby speaks to COVID-19 vaccines. These are the resources she mentions: https://www.mayoclinic.org/diseases-conditions/coronavirus/in-depth/coronavirus-vaccine/art-20484859 https://www.cdc.gov/coronavirus/2019-ncov/vaccines/vaccine-benefits/facts.html […]