Dec 29, 2010 | Medical billing basics
Determination of Level of E&M Code The three key elements in selecting the appropriate complexity of the E&M code are history, examination, and medical decision-making. These components must meet or exceed the minimum requirements specified in the...
Dec 28, 2010 | Medical billing basics
HMO: Need a referral from PCP to see a specialist. Need to select a PCP with in network Low premium Dose not covered the out of network service PPO: Don’t need a referral from PCP to see a specialist. Don’t necessary have to choose a PCP High premium dose cover the...
Dec 28, 2010 | Medical billing basics
Abortions On an annual basis, the number of legal, elective, or therapeutic, and illegal abortions that are performed in DoD MTFs must be reported to Congress. Use of the 635, 636 and 637 codes should be carefully scrutinized. Do not use 635-638 unless you...
Dec 28, 2010 | Medical billing basics
DoD-Unique V-Code Guidance for Exams, Education, and Counseling Services DoD extender codes have also been paired with selected V codes to further specify education and counseling services. The addition of DoD extender codes to the root code V70.5 enables the...
Dec 21, 2010 | Medical billing basics
Please note: The Blue Shield Drug Database & Formulary has been updated to reflect the changes from the December 2010 Pharmacy and Therapeutics (P&T) Committee meeting. Drugs Added to the Formulary: Exelon Patch Exelon Oral Solution Vyvanse Drugs Removed from...
