Feb 26, 2011 | Medical billing basics
GLOBAL SURGERY Definition Global surgery is combining reimbursement for the surgical procedure and certain costs associated with the surgical procedure into one fee. Physician Payment Reform (PPR) established a national definition of a “global surgery package” so that...
Feb 23, 2011 | Medical billing basics
Documentation for Consultation The documentation in the medical records should list the following items: • The request for the consult from the attending provider. • The attending provider must document the need for a consult...
Feb 21, 2011 | Medical billing basics
The Five-Step Process 1. Determine that the service is medically necessary. 2. Provide the service needed in order to properly meet the patient’s needs. 3.Document the service provided. 4.Select the most appropriate CPT/HCPCS code for the medically necessary service...
Feb 16, 2011 | Medical billing basics
Referral. When the referring provider, in writing, transfers complete responsibility of treatment for a specific and/or suspected problem, the receiving provider may not code a consult. Referrals are “evaluate and treat.” Outpatient referrals...
