Archive for The Day of August 17th, 2006

Archive for the Day of August 17th, 2006

Welcome to the medical billing blog archive for the day of August 17th, 2006.

Here you will find links to every article added to the Outsource Management Group web site during August 17th, 2006.

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

Proper Use of Afterhours Codes in Your Medical Billing

If an ob-gyn is called to the office at midnight to see a patient for an after-hours ob check, using the proper coding designation will make or break your medical billing claim. First of all, take in to consideration the location. If the care was provided at a 24-hour facility, you will want to use CPT after-hours code 99050 (Services provided in the office at times other than regularly scheduled office hours, or days when the office is normally closed …). Do not use codes 99052-99054. The old way of reporting this scenario was that CPT used to look at these type of claims based on time and day. The

2 Types of NCCI Edits

NCCI contains two types of edits: mutually exclusive and comprehensive/component edits. Knowing the difference between these types of edits can benefit your practice. Mutually exclusive edits pair procedures or services that the physician would not reasonably perform at the same session, at the same anatomic location, on the same beneficiary. A good example is using 76828 (Doppler echocardiography, fetal, pulsed wave and/or continuous wave with spectral display; follow-up or repeat study) is a component of 76820 (Doppler velocimetry, fetal; umbilical artery) and 76821 (… middle cerebral artery), thanks to an NCCI mutually exclusive edit. However, if you were to report two mutually exclusive codes for the same patient during the

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