CMS policy update: E/M services performed under the teaching physician rules Did you see that CMS updated its teaching physician rules? In the 2019 … [Read more...]
Preventive Medicine Services – Medicare
Medicare has very specific requirements for preventive services. What can you bill, what must you document? This article covers all the bases … [Read more...]
Reporting post op visits to Medicare in 2017
CMS has mandated post op reporting using code 99024 in 9 states for about 250 codes. This isn’t just for surgeons! Many of the codes on the list are … [Read more...]
This practice paid Medicare $4.48 million
Do you sign up for email lists and then wonder why you did it? We all do, don’t we? But, one email I always read is the one from the Department of … [Read more...]
Teaching physician rules and surgical procedures
The teaching physician rules describe a payment method by which Medicare pays an attending physician or teaching physician for services performed … [Read more...]
Secrets of the Medicare Fee Schedule
The Medicare Fee Schedule is much more than Relative Value Units! It is the source of global days and status indicators. It tells if a service can be … [Read more...]
Medicare Rules for Incident To and Shared Services
Whose provider number is being used to bill services to the insurer, or to Medicare? This is a compliance risk area often overlooked. This 10 minute … [Read more...]
Can’t I Bill TCM for all Discharged Patients? Rules and Comments
An Overview of Transitional Care Management for Discharge “I can bill all discharges with Transitional Care Management codes. They’re all moderate … [Read more...]
There’s no place like home, but everyone likes to get out once in a while | Eligibility for home health services
In order to be eligible for Medicare covered home health services a patient must be considered home bound. But what does that mean? That the patient … [Read more...]
The Physician Who Never Sleeps: Using the Correct NPI
Years ago, I worked with an Orthopedist who needed hours less sleep than I or the average person needed. While it would be incorrect to say he never … [Read more...]