Archive for The Day of April 24th, 2006

Archive for the Day of April 24th, 2006

Welcome to the medical billing blog archive for the day of April 24th, 2006.

Here you will find links to every article added to the Outsource Management Group web site during April 24th, 2006.

You can browse this day's archives by clicking the "More" button from any of the excerpts below.

Medicare Halts Reimbursements on Fecal Occult Blood Testing

If you are a physician that does FOBT testing, you need to make sure that the updated CPT coding is being used on your medical billing claims along with complete documentation or Medicare will no longer reimburse your medical billing claims submitted for this procedure. As of April 1, 2006, Medicare will no longer accept fecal occult blood code 82270 under the fecal occult blood test coverage policy for reimbursement. The new code that should be used for this service refers to blood occult peroxidase code 82272. If your practice has grown to the point you’re finding it difficult to keep up with the lightning fast changes in the medical

Include Evaluation with Scheduled Procedure

Here is a perplexing problem. When a surgeon meets with a patient an recommends a breast biopsy, we report a consult for this particular visit. On the day of the biopsy procedure, the surgeon will re-examine the patient, answer questions, an so on. The time that is spent prior to the procedure is ten minutes. In a case like this, you will not report a separate E/M with the biopsy. It is important to remember that all procedures include an inherent E/M component, according to CPT and CMS guidelines. In order to qualify as a separately billable service, any E/M the physician provides must be both signifigant and separately identifiable

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