tci E/M Coding Alert - 2014 Issue 9

Picture This Example of Consolidated Billing

Knowing the patient’s residence status will prevent denials. A physician sees a nursing facility patient in the office due to severe hip joint pain. The doctor evaluates the patient and performs an x-ray. When the physician determines there’s no fracture, he decides to treat the joint pain with a 40 mg injection of Depo-Medrol.   You’re unaware that the patient is an NF resident in a Part A stay, so you report the office visit, the global x-ray code, the joint injection code, and the medication to the patient’s Medicare Part B carrier. Since this...

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