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Incident-To Billing for Medicare
I was told for our Medicare patients in order for my PA to report incident-to the physician, that the supervising physician must be in the office. Is that correct? We are billing new and established patients under a physician’s NPI number even if there is no physician in the office
E/M for Worsening Chronic Condition
I have a patient with end stage renal disease who I saw yesterday in follow-up in the clinic. His ESRD is not at treatment goal, I recommended a fistula procedure and discussed specific risks and benefits of the procedure with the patient. What E/M level should I bill?
Myringoplasty using a Water-insoluble, Off-white, Nonelastic, Porous, and Pliable Product
If a physician performs a myringoplasty and uses a water-insoluble, off-white, nonelastic, porous, and pliable product, would it be appropriate to report code 69620 alone or 69620 appended with modifier 52, Reduced Services?
Billing for a Simple Repair of the Scalp
My physician is billing a simple repair of the scalp with CPT code 12001 when he uses steri-strips to do the repair. I don’t believe this is correct. Can we report the use of steri-strips alone to report a simple repair?
Postoperative Pain Block by Surgeon
Our surgeon is performing a total knee replacement and a postoperative pain block on a Medicare patient. Can we report the block in addition to the total knee arthroplasty procedure?
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