contractor articles (218)
Active Articles:
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A8622: Progressive Corrective Action -FY2002 Probe Review SummaryA8623: FY2002 Corrective Action Results
A8625: Initial and Follow-up Consultations
A8626: Are you billing Consultation Services Correctly?
A8628: Consultation Service Information is Available
A8629: Level II and Level III Evaluation and Management
A8630: Medical Necessity
A8631: Routine Physical Exams with Medically Necessary Services
A8632: Documentation Legibility and Medical Necessity
A8662: PCA Update
A8663: General Documentation
A8665: General Documentation Findings
A8666: E/M CPT Coding
A8667: History Findings
A8668: History Feedback
A8669: Examination Findings
A8670: Examination Feedback
A8671: Medical Decision Making Findings
A8672: Time
A8673: Consultation Findings
A8674: Critical Care Services
A8675: Nursing Facility Assessment 99302
A8708: What is a PCA Program?
A8709: How are providers identified for a probe review?
A8710: What Steps are involved in the Probe Review Process?
A8711: What is a Corrective Action Plan?
A8712: Corrective Action Plan Monitoring
A8713: Attention Physical Therapists
A8714: Pharmacologic Drug Management - 90862
A8715: Podiatry - Nail Avulsion Services 11730, 11732
A8716: Podiatry Documentation - Clarification
A8717: Osteopathic Manipulative Therapy
A8720: Routine Services
A8721: General Claim Information
A8722: Your Obligation as a Medicare Provider
A8723: Limitation of Liability
A8724: Progressive Corrective Action
A8767: 22 Modifier
A8769: Evaluation and Management
A8770: Physician/Practioner Signature
A8771: External Counterpulsation
A8773: Transurethral Resection of Prostate
A8785: PCA Update
A8789: Teaching Physician Services - Feedback & findings
A8790: Teaching Physicians Services - Coverage Requirements
A8791: Documentation of Teaching Physician Involvement and Participation
A8792: Psychiatric Services
A8793: Evaluation and Management Services - Subsequent and Concurrent Care Services
A8814: Progressive Corrective Action - Update
A8815: FY01 Activity Summary
A8816: FY01 Corrective Actions
A8817: Probe Findings
A8818: Ambulance Services
A8819: Routine Footcare - Podiatry Services
A8820: Inpatient Follow Up Consultations
A8821: Office or other Outpatient Evaluation and Management Services - 99214
A8822: Medical Records Documerntation
A8823: Dictated Medical Records
A8824: Facility Inpatients
A8848: Progressive Corrective Action Update-Probe Findings
A8850: Ordering/Referrng UPIN Requirements
A8851: Follow Up Consultations
A8852: Selecting Appropriate Level of Care - Evaluation and Mangement Services
A8853: Rendering/Performing Provider Information
A8854: Has Your Claim been Downcoded?
A8855: The results of pre-payment claim determinations provide an opportunity for providers to assess billing, coding or medical record documentation procedires.
A8856: Documentation Tips
A8885: Progressive Corrective Action Update
A8886: Requests for Documentation
A8887: Can you avoid a Probe Review?
A8888: Comprehensive Nursing Facility Assesments 99301-993-3
A8889: Multiple Patient Services
A8890: Probe Findings Podiatry
A8891: Probe Findings Psychiatry
A8892: Patient Status Letters
A8893: Summarization of Medical Records
A8895: Documentation of History, Examination and Medical Decision Making
A8896: Ventricular Assist Device (VADs)
A8897: Unclassified Drugs
A8898: PCA Update; Can you avoid a Probe Review?
A8937: Procedure Code 90801 Psychiatric diagnostic interview examination
A8938: 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.
A8939: Procedure Code 90853 Group psychotherapy (other than multi-family group)
A8940: Procedure Code 90862 Psychiatric pharmacologic management, including prescription use, and review of medication with no more than minimal medical psychotherapy
A8951: Focused Medical Review
A8952: Procedure Code 99313
A8953: Procedure Code 99303
A8954: Readmission
A8955: Nursing Facility Services
A8956: Types of Nursing Facility Services
A8957: Nursing Facility Assessments
A8958: Hospital Discharge Service Codes
A8959: Reporting Circumstances that are Specific to Nursing Facility Services
A8960: 99301
A8961: 99302
A8962: 99303
A8964: Subsequent Nursing Facility Care
A8965: 99311
A8967: 99312
A8972: 99313
A8973: 99315/99316
A9009: PCA Update
A9010: General Documentation
A9011: General Documentation Findings
A9012: E/M CPT Coding
A9013: History Findings
A9014: History Feedback
A9015: Examination Findings
A9016: Examination Feedback
A9017: Medical Decision Making Findings
A9018: Time
A9041: NEW TOPIC CATEGORY: Modifiers
A9042: NEW TOPIC CATEGORY: Documentation Templates
A9043: NEW TOPIC CATEGORY: E & M Coding
A9044: UPDATE TOPIC CATEGORY: Medical Record Requests
A9045: UPDATE TOPIC CATEGORY: Overpayment / Refunds
A9046: NEW TOPIC CATEGORY: Critical Care Services
A9047: NEW TOPIC CATEGORY: Surrogate UPINS
A9064: Webpage Highlight-FAQ-Medical Record Request Question #1
A9065: Webpage Highlight-FAQ-Medical Record Request (Question #2)
A9066: Webpage Highlight-FAQ-Medical Record Request Question #3
A9074: Medical Review
A9076: Telephone Calls
A9077: Telephone Services
A9078: Obtaining Copies of Patient Medical Records - All Locations
A9079: Obtaining Copies of Inpatient Medical Records
A9080: Incorrect Modifier Alert
A9082: Bone Density Studies - Unnecessary Denials
A9083: Have you verified/updated your practice Information lately?
A9084: Webpage Highlight-FAQ-Medical Record Request Question #1
A9085: Webpage Highlight-FAQ-Medical Record Request (Question #2)
A9086: Webpage Highlight-FAQ-Medical Record Request Question #3
A9121: Medical Review Findings
A9122: Quality Care and Service documentation
A9123: Claim and Documentation Feedback
A9124: Podiatry Services
A9125: E&M Services with modifier 25
A9126: Class Findings
A9127: Customized Service Documentation
A9128: Skin Debridement 11040,11041,and 11042
A9130: Responding to Additional Information Requests
A9131: Modifiers 76 and 25
A14283: Where can I obtain a copy of the Evaluation and Management guidelines?
A14309: Would the status of three chronic conditions qualify as an extended history of the present illness (HPI) under the Evaluation and Management Guidelines?
A14317: Can the History of Present Illness (HPI) count towards the review of systems (ROS) as well as count under the history of the present illness (HPI)?
A14321: Can four past medical conditions equal Past, Family, and Social History?
A14329: What is documentation?
A14333: What should the documentation of each patient encounter include?
A20968: Billing Sandostatin and Neulasta
A20969: Specialty Change
A20974: Sterilization – Reminder
A20975: Dental Services
A20976: Intravenous Iron Therapy – Coverage information
A20977: Evaluation and Management Services and Billing Update
A20978: Same Day Evaluation and Management Services
A21021: Quality Care and Service Documentation
A21022: Claim and Documentation Feedback
A21023: Responding to Additional Information Requests
A21039: Evaluation and Management Services
A21040: Modifiers Clarification and Update
A21042: Physical Therapy Findings
A21043: Frequently Asked Questions and Answers on Comparative Billing Reports
A21044: PROGRESSIVE CORRECTIVE ACTION (PCA) SERVICE SPECIFIC PROBE REVIEW
A21072: SPLASH
A22281: Domiciliary Care vs. Home Services
A22288: Medical Review Correspondence
A22325: Evaluation and Management Services - Documentation Reminder
A23675: RADIATION ONCOLOGY PART I
A23681: RADIATION ONCOLOGY PART III
A33332: HCPCS J3490 – Unclassified Drugs & HCPCS J3590 – Unclassified Biologicals
A33336: Electrodiagnostic Testing
A33343: Limitation of Liability
A33348: Medical Record Documentation – Importance and Provision of
A33351: Your Obligation as a Medicare Provider
A33355: Ambulance Service to Physician’s Office
A33361: Ambulance Suppliers Billing for Electrocardiogram Services
A33365: Care Plan Oversight (G0181 & G0182)
A33377: Correct Coding Update - Lysis of Adhesions
A33380: Ambulance Suppliers Billing for Electrocardiogram Services
A33384: Requirements & Responsibilities for Supervising Physicians in Teaching Settings
A33388: Supervising Physicians In Teaching Settings
A33394: Adenosine Used for Cardiovascular Stress Testing
A33398: (XXX99) BILLING AGGREGATES/UNLISTED CPT-CODES
A33405: PROVIDERS CONTINUE TO BILL HIGH LEVEL E/M SERVICES
A33408: FY2004 PCA Probe Review Finding
A33412: Hospital Discharge Day Management
A33416: Nursing Facility Services (99301-99313)
A33422: New Patient Evaluation and Management Services (99201-99205)
A33427: Templates
A33431: Conflicting Date of Service
A33436: Consultations
A33440: Fragmented or Split Billing
A33444: Duplicate Billing/Resubmission of Claims
A33448: Provider Identification - Provider Signature
A33454: “Incident To” Services
A33458: “Incident To” Services
A33461: Pre-payment Medical Review
A33471: Not Otherwise Classified (NOC) code in an Ambulatory Surgical Center
A33475: Not Otherwise Classified (NOC) codes
A33478: HCPCS J3490 - Unclassified Drugs & HCPCS J3590 - Unclassified Biologicals
A33484: Modifier 26 and Modifier 22
A33488: Pressure-Specified Sensory Device Test(tm)
A33491: Cardionet (93799 - Unlisted cardiovascular service or procedure)
A33495: Kyphoplasty Procedures (22899 - Unlisted procedure, spine)
A33499: Improper ICD-9-CM Diagnostic Codes Billed
A33503: Billing Modifier 22
A33508: Hospital Discharge Day Management (CPT Codes 99238 and 99239)
A33512: MEDICAL NECESSITY
A33516: Clarification Pre and Post Encounter Work
A33522: Illegibility of Documentation
A33526: Your Obligation as a Medicare Provider
A33530: Obtaining Copies of Medical Records
A33534: Obtaining Copies of Inpatient Medical Records
A37617: TEMPOROMANDIBULAR JOINT DISORDERS (TMD)/SPLINT FABRICATION AND FITTING
A37863: Vagal Nerve Stimulation (VNS) for Depression
A38414: Drugs Delivered Via Implantable Infusion Pump
A39295: Off-Label Medications - Coverage
A47182: Bone Mass Measurement
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