contractor articles (222)
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A8634: Progressive Corrective Action -FY2002 Probe Review SummaryA8635: FY2002 Corrective Action Results
A8636: How Does Medical Review Determine the Corrective Action?
A8637: Initial and Follow-up Consultations
A8638: Are you billing Consultation Services Correctly?
A8639: Three Rs for Consultation Services
A8640: Consultation Service Information is Available
A8641: Level II and Level III Evaluation and Management
A8642: Medical Necessity
A8643: Routine Physical Exams with Medically Necessary Services
A8644: Documentation Legibility and Medical Necessity
A8676: PCA Update
A8677: General Documentation
A8678: General Documentation Findings
A8679: E/M CPT Coding
A8680: History Findings
A8681: History Feedback
A8682: Examination Findings
A8683: Examination Feedback
A8685: Medical Decision Making Findings
A8686: Time
A8687: Consultation Findings
A8688: Critical Care Services
A8689: Nursing Facility Assessment 99302
A8725: What is a PCA Program?
A8726: How are providers identified for a probe review?
A8727: What Steps are involved in the Probe Review Process?
A8728: What is a Corrective Action Plan?
A8729: Corrective Action Plan Monitoring
A8730: Attention Physical Therapists
A8731: Pharmacologic Drug Management - 90862
A8732: Podiatry - Nail Avulsion Services 11730, 11732
A8733: Podiatry Documentation - Clarification
A8734: Osteopathic Manipulative Therapy
A8737: Routine Services
A8738: Your Obligation as a Medicare Provider
A8740: Progressive Corrective Action
A8759: General Claim Information
A8760: Limitation of Liability
A8774: 22 Modifier
A8775: Evaluation and Management
A8776: Physician/Practioner Signature
A8777: External Counterpulsation
A8778: Transurethral Resection of Prostate
A8794: PCA Update
A8798: Teaching Physician Services - Feedback & findings
A8799: Teaching Physicians Services - Coverage Requirements
A8801: Documentation of Teaching Physician Involvement and Participation
A8802: Psychiatric Services
A8803: Evaluation and Management Services - Subsequent and Concurrent Care Services
A8825: Progressive Corrective Action - Update
A8826: FY01 Activity Summary
A8827: FY01 Corrective Actions
A8829: Probe Findings
A8830: Ambulance Services
A8831: Routine Footcare - Podiatry Services
A8833: Office or other Outpatient Evaluation and Management Services - 99214
A8834: Medical Records Documerntation
A8835: Dictated Medical Records
A8836: Facility Inpatients
A8857: Progressive Corrective Action Update-Probe Findings
A8859: Ordering/Referrng UPIN Requirements
A8860: Follow Up Consultations
A8861: Selecting Appropriate Level of Care - Evaluation and Mangement Services
A8862: Rendering/Performing Provider Information
A8863: Has Your Claim been Downcoded?
A8864: The results of pre-payment claim determinations provide an opportunity for providers to assess billing, coding or medical record documentation procedires.
A8865: Documentation Tips
A8901: Progressive Corrective Action Update
A8902: Requests for Documentation
A8903: Can you avoid a Probe Review?
A8904: Comprehensive Nursing Facility Assesments 99301-993-3
A8906: Multiple Patient Services
A8907: Probe Findings Podiatry
A8908: Probe Findings Psychiatry
A8909: Patient Status Letters
A8910: Summarization of Medical Records
A8911: Documentation of History, Examination and Medical Decision Making
A8912: Ventricular Assist Device (VADs)
A8913: Unclassified Drugs
A8914: PCA Update; Can you avoid a Probe Review?
A8941: Procedure Code 90801 Psychiatric diagnostic interview examination
A8942: 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.
A8944: Procedure Code 90853 Group psychotherapy (other than multi-family group)
A8945: Procedure Code 90862 Psychiatric pharmacologic management, including prescription use, and review of medication with no more than minimal medical psychotherapy
A8968: 99313
A8970: 99315/99316
A8974: Focused Medical Review
A8975: Procedure Code 99313
A8976: Procedure Code 99303
A8977: Readmission
A8978: Nursing Facility Services
A8979: Types of Nursing Facility Services
A8980: Nursing Facility Assessments
A8981: Hospital Discharge Service Codes
A8982: Reporting Circumstances that are Specific to Nursing Facility Services
A8983: 99301
A8984: 99302
A8985: 99303
A8986: Subsequent Nursing Facility Care
A8988: 99311
A8989: 99312
A9019: PCA Update
A9020: General Documentation
A9021: General Documentation Findings
A9022: E/M CPT Coding
A9023: History Findings
A9024: History Feedback
A9025: Examination Findings
A9026: Examination Feedback
A9027: Medical Decision Making Findings
A9028: Time
A9049: NEW TOPIC CATEGORY: Modifiers
A9050: NEW TOPIC CATEGORY: Documentation Templates
A9051: NEW TOPIC CATEGORY: E & M Coding
A9052: UPDATE TOPIC CATEGORY: Medical Record Requests
A9053: UPDATE TOPIC CATEGORY: Overpayment / Refunds
A9054: NEW TOPIC CATEGORY: Critical Care Services
A9056: NEW TOPIC CATEGORY: Surrogate UPINS
A9067: Webpage Highlight-FAQ-Medical Record Request Question #1
A9068: Webpage Highlight-FAQ-Medical Record Request (Question #2)
A9069: Webpage Highlight-FAQ-Medical Record Request Question #3
A9093: Medical Review
A9095: Telephone Calls
A9096: Telephone Services
A9097: Obtaining Copies of Patient Medical Records - All Locations
A9098: Obtaining Copies of Inpatient Medical Records
A9099: Incorrect Modifier Alert
A9101: Bone Density Studies - Unnecessary Denials
A9102: Have you verified/updated your practice Information lately?
A9103: Webpage Highlight-FAQ-Medical Record Request Question #1
A9105: Webpage Highlight-FAQ-Medical Record Request (Question #2)
A9106: Webpage Highlight-FAQ-Medical Record Request Question #3
A9132: Medical Review Findings
A9133: Quality Care and Service documentation
A9134: Claim and Documentation Feedback
A9135: Podiatry Services
A9136: E&M Services with modifier 25
A9137: Class Findings
A9138: Customized Service Documentation
A9140: Skin Debridement 11040,11041,and 11042
A9142: Responding to Additional Information Requests
A9143: Modifiers 76 and 25
A14269: Where can I obtain a copy of the Evaluation and Management guidelines?
A14286: Where can I obtain a copy of the Evaluation and Management guidelines?
A14310: Would the status of three chronic conditions qualify as an extended history of the present illness (HPI) under the Evaluation and Management Guidelines?
A14318: 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)?
A14322: Can four past medical conditions equal Past, Family, and Social History?
A14326: Does a list of the patient’s current medications that are currently being managed by another physician count as a complete past, family, social history?
A14330: What is documentation?
A14334: What should the documentation of each patient encounter include?
A20980: Specialty Change
A20984: Billing Sandostatin and Neulasta
A20988: Dental Services
A20989: Sterilization – Reminder
A20991: Intravenous Iron Therapy – Coverage information
A20992: Evaluation and Management Services and Billing Update
A20993: Same Day Evaluation and Management Services
A21024: Quality Care and Service Documentation
A21025: Claim and Documentation Feedback
A21046: Evaluation and Management Services
A21047: Modifiers Clarification and Update
A21048: Physical Therapy Findings
A21049: Frequently Asked Questions and Answers on Comparative Billing Reports
A21050: PROGRESSIVE CORRECTIVE ACTION (PCA) SERVICE SPECIFIC PROBE REVIEW
A21073: SPLASH
A22163: Incorrect Claim Submissions
A22198: Duplicate Billing
A22282: Domiciliary Care vs. Home Services
A22289: Medical Review Correspondence
A22326: Evaluation and Management Services - Documentation Reminder
A23676: RADIATION ONCOLOGY PART I
A23682: RADIATION ONCOLOGY PART III
A33333: HCPCS J3490 – Unclassified Drugs & HCPCS J3590 – Unclassified Biologicals
A33337: Electrodiagnostic Testing
A33342: Limitation of Liability
A33346: Medical Record Documentation – Importance and Provision of
A33352: Your Obligation as a Medicare Provider
A33356: Ambulance Service to Physician’s Office
A33360: Ambulance Suppliers Billing for Electrocardiogram Services
A33366: Care Plan Oversight (G0181 & G0182)
A33376: Correct Coding Update - Lysis of Adhesions
A33381: Ambulance Suppliers Billing for Electrocardiogram Services
A33385: Requirements & Responsibilities for Supervising Physicians in Teaching Settings
A33389: Supervising Physicians In Teaching Settings
A33392: Adenosine Used for Cardiovascular Stress Testing
A33399: (XXX99) BILLING AGGREGATES/UNLISTED CPT-CODES
A33404: PROVIDERS CONTINUE TO BILL HIGH LEVEL E/M SERVICES
A33409: FY2004 PCA Probe Review Finding
A33413: Hospital Discharge Day Management
A33419: Nursing Facility Services (99301-99313)
A33423: New Patient Evaluation and Management Services (99201-99205)
A33428: Templates
A33432: Conflicting Date of Service
A33434: Consultations
A33441: Fragmented or Split Billing
A33445: Duplicate Billing/Resubmission of Claims
A33449: Provider Identification - Provider Signature
A33455: “Incident To” Services
A33459: “Incident To” Services
A33463: Pre-payment Medical Review
A33472: Not Otherwise Classified (NOC) code in an Ambulatory Surgical Center
A33476: Not Otherwise Classified (NOC) codes
A33479: HCPCS J3490 - Unclassified Drugs & HCPCS J3590 - Unclassified Biologicals
A33483: Modifier 26 and Modifier 22
A33486: Pressure-Specified Sensory Device Test(tm)
A33492: Cardionet (93799 - Unlisted cardiovascular service or procedure)
A33496: Kyphoplasty Procedures (22899 - Unlisted procedure, spine)
A33500: Improper ICD-9-CM Diagnostic Codes Billed
A33504: Billing Modifier 22
A33509: Hospital Discharge Day Management (CPT Codes 99238 and 99239)
A33513: MEDICAL NECESSITY
A33517: Clarification Pre and Post Encounter Work
A33523: Illegibility of Documentation
A33527: Your Obligation as a Medicare Provider
A33531: Obtaining Copies of Medical Records
A33535: Obtaining Copies of Inpatient Medical Records
A37618: TEMPOROMANDIBULAR JOINT DISORDERS (TMD)/SPLINT FABRICATION AND FITTING
A37864: Vagal Nerve Stimulation (VNS) for Depression
A38415: Drugs Delivered Via Implantable Infusion Pump
A39296: Off-Label Medications - Coverage
A47182: Bone Mass Measurement
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