Feb 15, 2011 | Medical billing basics
Modifiers Available in the DoD for E&M in the range 99201-99499. Coders should be in the habit of using appropriate modifiers. At this time, not all modifiers are accepted in the Ambulatory Data Module. There will be times when modifiers will not...
Feb 11, 2011 | Medical billing basics
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Feb 9, 2011 | Medical billing basics
When should CPT modifier -25 be used? Common Procedural Terminology (CPT) modifier -25 identifies a significant, separately identifiable evaluation and management (E/M) service. It should be used when the E/M service is above and beyond the usual pre- and post-...
Feb 2, 2011 | Medical billing basics
Hospital Observation Services 99217-99220 and 99234-99236 Placement in observation status requires an order from a provider with admitting privileges. Patients are in observation to determine whether the patient should be admitted to the hospital, transferred to...
Feb 1, 2011 | Medical billing basics
New and Established Patients To recognize the different levels of service between a patient that has not received care in a practice (and therefore needs more explanations regarding the operation of the practice) and an established patient (who is aware of the...
Jan 20, 2011 | Medical billing basics
Office Outpatient Services, 99201-99215 These codes are used when a privileged provider collects a medically related history, performs an exam, and makes a medical decision in a DoD healthcare facility on a patient who is not admitted as an inpatient to a healthcare...