Coding Corner Questions: February

No matter your level of coding experience, some fundamental guidelines for coding and billing are vital for procedures in rheumatology practices

When can an additional hour for an infusion be billed?
1. 1 minute into the next hour
2. 59 minutes into the next hour
3. 30 minutes into the next hour
4. 31 minutes into the next hour
Can the ultrasound guidance code 76942 be billed with a sacroiliac joint injection?
1. Yes
2. No
It is allowable to bill for infusion supplies (e.g., tubing, syringes).
1. True
2. False
Which two codes can never be billed together?
1. a. 96413, 96415
2. b. 96413, 96375
3. c. 96413, 96361
4. d. 96413, 96374
It is allowable to bill for both 20552 and 20553 in the same session.
1. True
2. False

Click here for the answers.

It is no secret that payers and providers have conflict as it relates to reimbursement rates for medical services, and there is another stakeholder, the patient, that plays an important role in the financial impact of healthcare reimbursement. Usually, patients are faced with unforeseen bills from their providers due to an unpaid portion of a…

Has your practice ever experienced the disappointment of being downcoded because of lack of supporting documentation?

What to consider when deciding whether to delegate claims billing in-house or to contract with an outside company

In today’s busy rheumatology practices, the services of nurse practitioners, physician assistants, occupational therapists and clinical nurse specialists are a great asset for patient flow, as well as increased revenue. As the growth of nonphysician providers (NPPs) in rheumatology practices has evolved, it has become increasingly important to understand the incident-to rules and avoid the…

Coding Corner Questions: February

Avoid the Trap of Balance Billing

Documenting Infusion Time, Start to Finish

Practice Page: Is In-house or Outsourced Medical Billing Right for Your Physician Practice?

Medicare Incident-to Billing Rules, Pitfalls

Related Articles