tci Medicare Compliance & Reimbursement - 2007 Issue 31

REIMBURSEMENT: Steer Clear Of Bundled Codes With 99143-99150

Look for systemic conditions that support moderate sedation.So your Medicare carrier (or private payor) has decided to pay for moderate sedation codes 99143-99150 after all. Now, how do you document and code the procedures to make sure you get the correct payment? Our experts offer a few tips: · Look for MAC coverage policies. Often, the diagnosis codes that carriers list for Monitored Anesthesia Care (MAC) will also work for moderate sedation, notes Marvel Hammer, president of MJH Consulting in Denver, CO. The patient's condition and co-morbidities should be your main support for medical necessity, Hammer adds. Look...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.