"The Blatant Truth About Owning a Medical Practice"

"Rx For Practice Owners"

Ester Horowitz

Ester Horowitz, MBA, CMC

Help Please! CPT for Pulmonary Vein Isolation.

I am trying to code the anesthesia for Pulmonary Vein Isolation. I think it is 93799 (unlisted) but my manager is worried that we won't get proper payment and insists that there has to be a listed CPT code that will link to an ASA. The problem is, he may be right. There is never any "Op Notes" for us to submit so I can't see how we could get paid for using the unlisted. I'm new and I don't want to do the wrong thing but I don't want to just take everyone else's word for it and "just use what everybody else is using"... Am I missing something? Is there any CPT that is acceptable?

APPEAL LETTER FOR TIMELY FILING

I had a great letter at one time for claims denied by timely filing. It has disappeared and I was wondering if anyone else had one I could use. Thank you.

OIG Posts 5 Audit Reports

OIG today posts five audit reports. As always, selecting the link immediately following the report title will take you directly to the full document. Review of Administrative and Clerical Costs at Duke University for the Period October 1, 2002, Through September 30, 2004 (A-04-05-01014) http://www.oig.hhs.gov/oas/reports/region4/40501014.pdf

Emergency Department Billing of Auto Accidents

I am looking for anyone else who might bill for Emergency Department Physicians. We get all our demographic and insurance information via the hospital. I was wondering how other offices handle accounts when the patients were involved in an automobile accident? Any suggestions would be grateful, we have a protocol in place, but just seems like we are missing something? Thanks Becky Butcher Insurance Billing Director PEP

Coding for Spinal Cord Stimulator

Hello, I am new to Pain Coding. How would this scenario be coded, the physician revised an implanted spinal neruostimulator receiver and added (2)more leads with a connector? Thank you for your help,

Outpatient Coding Compliance Manager

I was approached about an open job that I cannot fill, but I told the person I would reach out to see if there is anyone out there that is interested. Here is the job and candidate requirements. Email me with your resume and I will forward on to my friend: Outpatient Coding Compliance Manager Position Summary: