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| Question | Date Updated |
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Is it necessary to bill both the technical and professional components of diagnostic radiology services on the same date of service if both are not performed on the same date?
| 2/27/2008 9:43 AM |
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How do you bill with the Q6 modifier when billing diagnostic radiology interpretations on the same day as the radiology procedure performed, when the interpretation was actually performed a day later than the procedure?
| 2/27/2008 9:43 AM |
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What specifically is the difference between and an expanded problem focused exam vs. a detailed exam?
| 2/27/2008 9:43 AM |
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If a patient is seen in the emergency room and then is admitted as an inpatient, does Medicare pay for both the emergency department evaluation and management visit on the same day as well as an initial hospital visit?
| 2/27/2008 9:42 AM |
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Why are claims denying when the provider submitted with his individual NPI and his incorporated NPI numbers?
| 2/27/2008 9:42 AM |
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Relating to the Initial Preventive Physical Exam (a preventive service available as of January 1, 2005), is there a specific diagnosis that must be used to identify it as the IPPE?
| 2/27/2008 9:41 AM |
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Can you bill two Emergency Department (ED) services on the same day by two different physicians?
| 2/27/2008 9:41 AM |
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When you compile CERT errors, at what level are they compiled?
| 2/27/2008 9:41 AM |
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When billing for a locum tenens should the statement "Dr. X, UPIN X, provided services for X dates be on every claim with a Q6 modifier or is this just a statement of clarification when documentation is requested?
| 2/27/2008 9:40 AM |
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When billing with a Q6 modifier should the UPIN/PIN of the locum tenens be on the claim or just be on record?
| 2/27/2008 9:40 AM |
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How can I tell whether services are bundled and not separately payable?
| 2/27/2008 9:40 AM |
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What is the appropriate way to bill modifier 50 for Bilateral Procedure?
| 2/27/2008 9:39 AM |
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When a physician uses time counseling as part of the office visit, what does the documentation have to state?
| 2/27/2008 9:30 AM |
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If a claim or part of a claim is denied (maybe the provider left off Modifier 25) how can you rebill it electronically and not get it denied as a duplicate.
| 2/27/2008 9:30 AM |
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If an LPN gives an injection while the physician is present in the office (but the physician doesn’t see the patient) may 99211 be charged for the nurse’s time?
| 2/27/2008 9:30 AM |
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Effective January 15, 2008 Pinnacle Medicare Services will no longer provide Comparative Billing Reports to providers.
| 1/14/2008 9:42 AM |
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If a psychiatrist sees an inpatient in the morning and provides psychotherapy and then decides later in the day that the patient is appropriate for discharge, can he also bill a 99238/39 on the same DOS? Looking to CPT it clearly states that 99238/39 is for all services provided on the discharge day?
| 9/6/2007 11:00 AM |
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A physician in our group believes that if he uses a psychiatric diagnosis his reimbursement would be less. Is this true? If he bills for a consultation with this type of diagnosis, it should not affect his reimbursement, should it?
| 9/6/2007 11:00 AM |
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Can a Nurse Practitioner bill all levels of evaluation and management codes?
| 8/15/2007 4:32 PM |
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Does Medicare pay for a Consultation Evaluation & Management service if one physician or qualified NPP in a group practice requests a consultation from another physician in the same group?
| 8/15/2007 4:31 PM |
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It seems we are often requesting redeterminations because of “global period” denials. Could you define the term “global period”?
| 8/15/2007 4:31 PM |
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Where can I find the Medicare Redetermination Request for (CMS 20027)?
| 8/15/2007 4:29 PM |
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Has the new Medicare contractor been assigned for Oklahoma and New Mexico?
| 8/15/2007 4:28 PM |
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Does Medicare pay for tetanus shots?
| 8/15/2007 4:27 PM |
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What is considered the date of receipt of the Medicare Summary Notice (MSN) or Remittance Advice (RA) for the appeals process?
| 7/16/2007 9:28 AM |
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