Jul 3, 2016 | Medical billing basics
When a hospital inpatient or office/outpatient evaluation and management service (E/M) are furnished on a calendar date at which time the patient does not require critical care and the patient subsequently requires critical care both the critical Care Services (CPT...
Sep 24, 2015 | Medical billing basics
For claims submitted by a physician or NPP: • Services performed by non-employees or those not under a physician’s or NPP’s direct supervision are not covered. • Services not relating to a written treatment plan are not medically...
Sep 11, 2015 | Medical billing basics
Evaluation and Management (E&M) codes are to be performed by physicians, nurse practitioners and physician assistants. Physician codes should be billed using the rendering provider’s individual NPI. 99201 Office or other outpatient visit for the evaluation and...
Jan 7, 2012 | Medical billing basics
PATIENT TYPE For purposes of billing for E/M services, patients are identified as either new or established, depending on previous encounters with the provider. A new patient is defined as an individual who has not received any professional services from the...
Jun 9, 2011 | Medical billing basics
Chiropractic services are subject to national regulation, which provides definitions, indications and limitations for Medicare payment of chiropractic service. Please see Medicare Benefit Manual sections referenced above for national definitions, indications and...
