contractor articles (173)
Active Articles:
None to display.Retired Articles:
A1275: DocumentationA1317: PCA Update
A1321: Teaching Physician Services - Feedback & findings
A1322: Teaching Physicians Services - Coverage Requirements
A1324: Psychiatric Services
A1325: Evaluation and Management Services - Subsequent and Concurrent Care Services
A1326: What is a PCA Program?
A1327: How are providers identified for a probe review?
A1328: What Steps are involved in the Probe Review Process?
A1329: What is a Corrective Action Plan?
A1330: Corrective Action Plan Monitoring
A1331: Attention Physical Therapists
A1332: Pharmacologic Drug Management - 90862
A1333: Podiatry - Nail Avulsion Services 11730, 11732
A1334: Podiatry Documentation - Clarification
A1335: Osteopathic Manipulative Therapy
A1339: Routine Services
A1341: General Claim Information
A1342: Your Obligation as a Medicare Provider
A1343: Limitation of Liability
A1362: Consultation Findings
A1364: Critical Care Services
A1365: Nursing Facility Assessment 99302
A1415: Telephone Services
A1416: Obtaining Copies of Patient Medical Records - All Locations
A1417: Obtaining Copies of Inpatient Medical Records
A1418: Incorrect Modifier Alert
A1420: Have you verified/updated your practice Information lately?
A1425: Procedure Code 90801 Psychiatric diagnostic interview examination
A1428: Procedure Code 90808 Individual psychotherapy, insight-oriented behavior modifying and/or supportive, in an office or outpatient facility, approximately 75 to 80 minutes face to face with the patient.
A1431: Procedure Code 90862 Psychiatric pharmacologic management, including prescription use, and review of medication with no more than minimal medical psychotherapy
A1488: Focused Medical Review
A1489: Procedure Code 99313
A1544: Readmission
A1574: Progressive Corrective Action Update
A1575: Requests for Documentation
A1576: Can you avoid a Probe Review?
A1577: Comprehensive Nursing Facility Assesments 99301-993-3
A1578: Multiple Patient Services
A1580: Probe Findings Podiatry
A1581: Probe Findings Psychiatry
A1582: Patient Status Letters
A1586: Documentation of History, Examination and Medical Decision Making
A1587: Ventricular Assist Device (VADs)
A1588: Unclassified Drugs
A1589: Progressive Corrective Action Update-Probe Findings
A1591: Ordering/Referrng UPIN Requirements
A1592: Follow Up Consultations
A1593: Selecting Appropriate Level of Care - Evaluation and Mangement Services
A1596: Rendering/Performing Provider Information
A1599: Has Your Claim been Downcoded?
A1601: The results of pre-payment claim determinations provide an opportunity for providers to assess billing, coding or medical record documentation procedires.
A1608: Progressive Corrective Action - Update
A1611: FY01 Activity Summary
A1613: FY01 Corrective Actions
A1614: Probe Findings
A1615: Ambulance Services
A1616: Routine Footcare - Podiatry Services
A1617: Inpatient Follow Up Consultations
A1618: Office or other Outpatient Evaluation and Management Services - 99214
A1628: Medical Records Documerntation
A1632: Dictated Medical Records
A1636: Facility Inpatients
A1645: Podiatry Services
A1648: E&M Services with modifier 25
A1649: Class Findings
A1651: Skin Debridement 11040,11041,and 11042
A1652: Pulse Oximetry Services
A1653: Responding to Additional Information Requests
A1654: Modifiers 76 and 25
A1963: Nursing Facility Services
A1964: Types of Nursing Facility Services
A1966: Hospital Discharge Service Codes
A1967: Reporting Circumstances that are Specific to Nursing Facility Services
A1971: 99301
A1972: 99302
A1974: 99303
A1978: 99311
A1980: 99312
A1981: 99313
A1983: 99315/99316
A2041: Evaluation and Management
A2042: Physician/Practioner Signature
A2043: External Counterpulsation
A2044: Transurethral Resection of Prostate
A2046: Progressive Corrective Action -FY2002 Probe Review Summary
A2047: FY2002 Corrective Action Results
A2048: How Does Medical Review Determine the Corrective Action?
A2049: Initial and Follow-up Consultations
A2050: Are you billing Consultation Services Correctly?
A2051: Three Rs for Consultation Services
A2052: Consultation Service Information is Available
A2054: Level II and Level III Evaluation and Management
A2062: Medical Necessity
A2064: Routine Physical Exams with Medically Necessary Services
A2065: Documentation Legibility and Medical Necessity
A2316: Webpage Highlight-FAQ-Medical Record Request Question #1
A2317: Webpage Highlight-FAQ-Medical Record Request (Question #2)
A2318: Webpage Highlight-FAQ-Medical Record Request Question #3
A6393: NEW TOPIC CATEGORY: Documentation Templates
A6396: UPDATE TOPIC CATEGORY: Medical Record Requests
A6398: UPDATE TOPIC CATEGORY: Overpayment / Refunds
A6401: NEW TOPIC CATEGORY: Critical Care Services
A6403: NEW TOPIC CATEGORY: Surrogate UPINS
A6414: NEW TOPIC CATEGORY: Modifiers
A14320: Can four past medical conditions equal Past, Family, and Social History?
A20797: Pulse Oximetry Services
A20948: Billing Sandostatin and Neulasta
A20958: Sterilization – Reminder
A20959: Dental Services
A20960: Intravenous Iron Therapy – Coverage information
A20963: Same Day Evaluation and Management Services
A21017: Responding to Additional Information Requests
A21032: Evaluation and Management Services
A21033: Modifiers Clarification and Update
A21034: Physical Therapy Findings
A21035: Frequently Asked Questions and Answers on Comparative Billing Reports
A21036: PROGRESSIVE CORRECTIVE ACTION (PCA) SERVICE SPECIFIC PROBE REVIEW
A21071: SPLASH
A22280: Domiciliary Care vs. Home Services
A22287: Medical Review Correspondence
A22323: Evaluation and Management Services - Documentation Reminder
A23351: RADIATION ONCOLOGY PART I
A23668: RADIATION ONCOLOGY PART III
A33301: Modifier 80 - Assistant Surgeon Modifier 81 - Minimum Assistant Surgeon
A33331: HCPCS J3490 – Unclassified Drugs & HCPCS J3590 – Unclassified Biologicals
A33339: Electrodiagnostic Testing
A33344: Limitation of Liability
A33349: Medical Record Documentation – Importance and Provision of
A33350: Your Obligation as a Medicare Provider
A33354: Ambulance Service to Physician’s Office
A33359: Ambulance Suppliers Billing for Electrocardiogram Services
A33364: Care Plan Oversight (G0181 & G0182)
A33378: Correct Coding Update - Lysis of Adhesions
A33379: Ambulance Suppliers Billing for Electrocardiogram Services
A33383: Requirements & Responsibilities for Supervising Physicians in Teaching Settings
A33387: Supervising Physicians In Teaching Settings
A33393: Adenosine Used for Cardiovascular Stress Testing
A33397: (XXX99) BILLING AGGREGATES/UNLISTED CPT-CODES
A33406: PROVIDERS CONTINUE TO BILL HIGH LEVEL E/M SERVICES
A33407: FY2004 PCA Probe Review Finding
A33411: Hospital Discharge Day Management
A33415: Nursing Facility Services (99301-99313)
A33421: New Patient Evaluation and Management Services (99201-99205)
A33426: Templates
A33430: Conflicting Date of Service
A33437: Consultations
A33439: Fragmented or Split Billing
A33443: Duplicate Billing/Resubmission of Claims
A33447: Provider Identification - Provider Signature
A33453: “Incident To” Services
A33457: “Incident To” Services
A33462: Pre-payment Medical Review
A33470: Not Otherwise Classified (NOC) code in an Ambulatory Surgical Center
A33474: Not Otherwise Classified (NOC) codes
A33481: HCPCS J3490 - Unclassified Drugs & HCPCS J3590 - Unclassified Biologicals
A33485: Modifier 26 and Modifier 22
A33489: Pressure-Specified Sensory Device Test(tm)
A33490: Cardionet (93799 - Unlisted cardiovascular service or procedure)
A33494: Kyphoplasty Procedures (22899 - Unlisted procedure, spine)
A33498: Improper ICD-9-CM Diagnostic Codes Billed
A33502: Billing Modifier 22
A33507: Hospital Discharge Day Management (CPT Codes 99238 and 99239)
A33511: MEDICAL NECESSITY
A33515: Clarification Pre and Post Encounter Work
A33521: Illegibility of Documentation
A33525: Your Obligation as a Medicare Provider
A33529: Obtaining Copies of Medical Records
A33533: Obtaining Copies of Inpatient Medical Records
A36981: Vagal Nerve Stimulation (VNS) for Depression
A37513: TEMPOROMANDIBULAR JOINT DISORDERS (TMD)/SPLINT FABRICATION AND FITTING
A38122: Drugs Delivered Via Implantable Infusion Pump
A47182: Bone Mass Measurement
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