contractor articles (223)
Active Articles:
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A8645: Progressive Corrective Action -FY2002 Probe Review SummaryA8646: FY2002 Corrective Action Results
A8647: How Does Medical Review Determine the Corrective Action?
A8648: Initial and Follow-up Consultations
A8649: Are you billing Consultation Services Correctly?
A8650: Three Rs for Consultation Services
A8651: Consultation Service Information is Available
A8652: Level II and Level III Evaluation and Management
A8653: Medical Necessity
A8654: Routine Physical Exams with Medically Necessary Services
A8655: Documentation Legibility and Medical Necessity
A8692: General Documentation
A8693: General Documentation Findings
A8694: E/M CPT Coding
A8695: History Findings
A8696: History Feedback
A8697: Examination Findings
A8698: Examination Feedback
A8699: Medical Decision Making Findings
A8700: Time
A8701: Consultation Findings
A8703: Critical Care Services
A8704: Nursing Facility Assessment 99302
A8741: What is a PCA Program?
A8742: How are providers identified for a probe review?
A8743: What Steps are involved in the Probe Review Process?
A8744: What is a Corrective Action Plan?
A8745: Corrective Action Plan Monitoring
A8746: Attention Physical Therapists
A8747: Pharmacologic Drug Management - 90862
A8748: Podiatry - Nail Avulsion Services 11730, 11732
A8749: Podiatry Documentation - Clarification
A8750: Osteopathic Manipulative Therapy
A8753: Routine Services
A8754: General Claim Information
A8755: Your Obligation as a Medicare Provider
A8756: Limitation of Liability
A8757: Progressive Corrective Action
A8780: 22 Modifier
A8781: Evaluation and Management
A8782: Physician/Practioner Signature
A8783: External Counterpulsation
A8784: Transurethral Resection of Prostate
A8804: PCA Update
A8808: Teaching Physician Services - Feedback & findings
A8809: Teaching Physicians Services - Coverage Requirements
A8810: Documentation of Teaching Physician Involvement and Participation
A8811: Psychiatric Services
A8812: Evaluation and Management Services - Subsequent and Concurrent Care Services
A8837: Progressive Corrective Action - Update
A8838: FY01 Activity Summary
A8839: FY01 Corrective Actions
A8840: Probe Findings
A8841: Ambulance Services
A8842: Routine Footcare - Podiatry Services
A8843: Inpatient Follow Up Consultations
A8844: Office or other Outpatient Evaluation and Management Services - 99214
A8845: Medical Records Documerntation
A8846: Dictated Medical Records
A8847: Facility Inpatients
A8866: Progressive Corrective Action Update-Probe Findings
A8868: Ordering/Referrng UPIN Requirements
A8869: Follow Up Consultations
A8870: Selecting Appropriate Level of Care - Evaluation and Mangement Services
A8871: Rendering/Performing Provider Information
A8872: Has Your Claim been Downcoded?
A8873: The results of pre-payment claim determinations provide an opportunity for providers to assess billing, coding or medical record documentation procedires.
A8874: Documentation Tips
A8916: Progressive Corrective Action Update
A8918: Requests for Documentation
A8919: Can you avoid a Probe Review?
A8921: Comprehensive Nursing Facility Assesments 99301-993-3
A8922: Multiple Patient Services
A8924: Probe Findings Podiatry
A8925: Probe Findings Psychiatry
A8927: Patient Status Letters
A8928: Summarization of Medical Records
A8930: Documentation of History, Examination and Medical Decision Making
A8932: Ventricular Assist Device (VADs)
A8934: Unclassified Drugs
A8935: PCA Update; Can you avoid a Probe Review?
A8946: Procedure Code 90801 Psychiatric diagnostic interview examination
A8947: 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.
A8948: Procedure Code 90853 Group psychotherapy (other than multi-family group)
A8949: Procedure Code 90862 Psychiatric pharmacologic management, including prescription use, and review of medication with no more than minimal medical psychotherapy
A8990: Focused Medical Review
A8991: Procedure Code 99313
A8992: Procedure Code 99303
A8993: Readmission
A8994: Nursing Facility Services
A8995: Types of Nursing Facility Services
A8996: Nursing Facility Assessments
A8997: Hospital Discharge Service Codes
A8998: Reporting Circumstances that are Specific to Nursing Facility Services
A8999: 99301
A9000: 99302
A9001: 99303
A9002: Subsequent Nursing Facility Care
A9003: 99311
A9004: 99312
A9005: 99313
A9006: 99315/99316
A9030: PCA Update
A9031: General Documentation
A9032: General Documentation Findings
A9033: E/M CPT Coding
A9034: History Findings
A9035: History Feedback
A9036: Examination Findings
A9037: Examination Feedback
A9038: Medical Decision Making Findings
A9039: Time
A9057: NEW TOPIC CATEGORY: Modifiers
A9058: NEW TOPIC CATEGORY: Documentation Templates
A9059: NEW TOPIC CATEGORY: E & M Coding
A9060: UPDATE TOPIC CATEGORY: Medical Record Requests
A9061: UPDATE TOPIC CATEGORY: Overpayment / Refunds
A9062: NEW TOPIC CATEGORY: Critical Care Services
A9063: NEW TOPIC CATEGORY: Surrogate UPINS
A9070: Webpage Highlight-FAQ-Medical Record Request Question #1
A9071: Webpage Highlight-FAQ-Medical Record Request (Question #2)
A9072: Webpage Highlight-FAQ-Medical Record Request Question #3
A9108: Medical Review
A9110: Telephone Calls
A9111: Telephone Services
A9112: Obtaining Copies of Patient Medical Records - All Locations
A9113: Obtaining Copies of Inpatient Medical Records
A9114: Incorrect Modifier Alert
A9115: Bone Density Studies - Unnecessary Denials
A9116: Have you verified/updated your practice Information lately?
A9117: Webpage Highlight-FAQ-Medical Record Request Question #1
A9119: Webpage Highlight-FAQ-Medical Record Request (Question #2)
A9120: Webpage Highlight-FAQ-Medical Record Request Question #3
A9144: Medical Review Findings
A9145: Quality Care and Service documentation
A9147: Claim and Documentation Feedback
A9148: Podiatry Services
A9149: E&M Services with modifier 25
A9150: Class Findings
A9151: Customized Service Documentation
A9152: Skin Debridement 11040,11041,and 11042
A9154: Responding to Additional Information Requests
A9155: Modifiers 76 and 25
A14293: Where can I obtain a copy of the Evaluation and Management guidelines?
A14315: Would the status of three chronic conditions qualify as an extended history of the present illness (HPI) under the Evaluation and Management Guidelines?
A14319: 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)?
A14323: Can four past medical conditions equal Past, Family, and Social History?
A14327: 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?
A14331: What is documentation?
A14335: What should the documentation of each patient encounter include?
A20996: Billing Sandostatin and Neulasta
A20997: Specialty Change
A21000: Sterilization – Reminder
A21004: Dental Services
A21005: Intravenous Iron Therapy – Coverage information
A21006: Evaluation and Management Services and Billing Update
A21007: Same Day Evaluation and Management Services
A21027: Quality Care and Service Documentation
A21028: Claim and Documentation Feedback
A21029: Responding to Additional Information Requests
A21051: Evaluation and Management Services
A21052: Modifiers Clarification and Update
A21054: Frequently Asked Questions and Answers on Comparative Billing Reports
A21055: PROGRESSIVE CORRECTIVE ACTION (PCA) SERVICE SPECIFIC PROBE REVIEW
A21074: SPLASH
A22091: Modifier 80 – Assistant Surgeon and Modifier 81 - Minimum Assistant Surgeon
A22096: HCPCS J3490 – Unclassified Drugs & HCPCS J3590 – Unclassified Biologicals
A22116: Progressive Corrective Action (PCA) Update – Probe Findings
A22181: Incorrect Documentation of Referring Provider
A22208: Duplicate Billing
A22225: Undocumented Services
A22283: Domiciliary Care vs. Home Services
A22290: Medical Review Correspondence
A22328: Evaluation and Management Services - Documentation Reminder
A23677: RADIATION ONCOLOGY PART I
A23683: RADIATION ONCOLOGY PART III
A33334: HCPCS J3490 – Unclassified Drugs & HCPCS J3590 – Unclassified Biologicals
A33338: Electrodiagnostic Testing
A33341: Limitation of Liability
A33347: Medical Record Documentation – Importance and Provision of
A33353: Your Obligation as a Medicare Provider
A33357: Ambulance Service to Physician’s Office
A33358: Ambulance Suppliers Billing for Electrocardiogram Services
A33367: Care Plan Oversight (G0181 & G0182)
A33375: Correct Coding Update - Lysis of Adhesions
A33382: Ambulance Suppliers Billing for Electrocardiogram Services
A33386: Requirements & Responsibilities for Supervising Physicians in Teaching Settings
A33390: Supervising Physicians In Teaching Settings
A33391: Adenosine Used for Cardiovascular Stress Testing
A33400: (XXX99) BILLING AGGREGATES/UNLISTED CPT-CODES
A33403: PROVIDERS CONTINUE TO BILL HIGH LEVEL E/M SERVICES
A33410: FY2004 PCA Probe Review Finding
A33414: Hospital Discharge Day Management
A33420: Nursing Facility Services (99301-99313)
A33424: New Patient Evaluation and Management Services (99201-99205)
A33429: Templates
A33433: Conflicting Date of Service
A33435: Consultations
A33442: Fragmented or Split Billing
A33446: Duplicate Billing/Resubmission of Claims
A33450: Provider Identification - Provider Signature
A33464: Pre-payment Medical Review
A33473: Not Otherwise Classified (NOC) code in an Ambulatory Surgical Center
A33477: Not Otherwise Classified (NOC) codes
A33480: HCPCS J3490 - Unclassified Drugs & HCPCS J3590 - Unclassified Biologicals
A33482: Modifier 26 and Modifier 22
A33487: Pressure-Specified Sensory Device Test(tm)
A33493: Cardionet (93799 - Unlisted cardiovascular service or procedure)
A33497: Kyphoplasty Procedures (22899 - Unlisted procedure, spine)
A33501: Improper ICD-9-CM Diagnostic Codes Billed
A33505: Billing Modifier 22
A33510: Hospital Discharge Day Management (CPT Codes 99238 and 99239)
A33514: MEDICAL NECESSITY
A33518: Clarification Pre and Post Encounter Work
A33524: Illegibility of Documentation
A33528: Your Obligation as a Medicare Provider
A33532: Obtaining Copies of Medical Records
A33536: Obtaining Copies of Inpatient Medical Records
A37619: TEMPOROMANDIBULAR JOINT DISORDERS (TMD)/SPLINT FABRICATION AND FITTING
A37865: Vagal Nerve Stimulation (VNS) for Depression
A38416: Drugs Delivered Via Implantable Infusion Pump
A39297: Off-Label Medications - Coverage
A47182: Bone Mass Measurement
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