WPS Medicare Part B - Quarterly CERT Error Findings Report ~ MICHIGAN ~

Size: px
Start display at page:

Download "WPS Medicare Part B - Quarterly CERT Error Findings Report ~ MICHIGAN ~"

Transcription

1 WPS Medicare Part B - Quarterly CERT Error Findings Report ~ MICHIGAN ~ This report provides details of Comprehensive Error Rate Testing (CERT) errors assessed July 2014 through September 2014 for Michigan providers. The findings below are reported based on the type of error assessed by the CERT Contractor (e.g., insufficient documentation, incorrect coding, etc.). Insufficient Documentation - 78% of total errors Provider billed for initial hospital encounter and subsequent hospital encounters and submitted attestation to signatures and copy of illegible notes. Unable to read large sections of the notes, therefore unable to verify billed encounter codes. Claim billed for office evaluation and management service (CPT 99215). Unable to read provider's handwriting on note submitted. Billing for home visit, evaluation and management services provided in a private residence (CPT ). Missing documentation to support the medical necessity of the home visit made in lieu of an office or outpatient visit. Received the home visit note but there is no documentation supporting this patient is homebound. Billed (initial observation care, per day evaluation and management (E/M service). Submitted documentation is missing the billing provider's clinical documentation to support face to face evaluation and involvement in the E/M service billed. Documentation initially submitted included progress note from different provider; discharge summary from billing provider; emergency room and observation care documents. Claim billed for ESRD monthly visit with 2-3 face to face visit by a physician or other qualified health care professional per month (CPT 90961). Submitted documentation is missing the face to face evaluations to support code as billed. Submitted documentation included only one face to face visit signed by NP in same group practice as billing physician. Billed psychiatric diagnostic evaluation (CPT 90791). Missing the billing provider signed and dated progress note to support billed service. Submitted documentation includes a very comprehensive report for another date, with multiple Evaluation Dates, and cumulative progress notes that document what intervention was done on each date. Requested additional documentation from billing provider and received attestation statement only Billed QK - anesthesia for extensive spine and spinal cord procedures. Submitted documentation includes illegible signed anesthesia record, operative reports, surgical nursing record, and illegible signed pre-evaluation. Requested additional documentation from billing provider and received duplicate documentation. Billed CPT CAT scan, thorax w/o & w/ dye, Modifiers 26 (professional component) and 59 (Distinct Procedural Service). Missing documentation of the plan or intent to order the CT Page 1 of 5

2 scan and documentation that supports medical necessity and the need for the CT scan of the thorax when performed at the same encounter as the CTA Chest which is billed on line 2 of this claim. Received an order for both the CTA Chest and CT Thorax; and an unauthenticated handwritten note documenting "order changed from CTA heart because of irregular heartbeat. <Physician> was notified." Received a consult note documenting the plan to order an echo and CTA of the chest. No documentation of intent to order the CT scan and documentation is insufficient to support the medical necessity of both the CT scan of the thorax and CTA Chest performed on the same day Missing the physician order or clinical documentation of intent of ordering the billed hemoglobin; glycosylated (A1C), comprehensive metabolic panel (CMP), complete blood count (CBC) with differential, thyroxine; total, albumin; urine, microalbumin, quantitative, urinalysis automated with microscopy, and uric acid; blood. Received laboratory reports, unsigned lab requisition, and progress notes that support medical necessity. Requested additional documentation from the ordering provider and received duplicate documentation. Billed amitriptyline, benzodiazepines, desipramine, imipramine, nortriptyline, quantitation of drug, urinalysis, automated without microscopy, amphetamine or methamphetamine, amphetamine or methamphetamine with modifier 91, and cocaine or metabolite. Missing physician's order, intent to order and medical necessity for billed tests. Submitted an unsigned requisition form and results. Provider billed for lab tests free thyroxine, Vitamin B-12, and folic acid level for 8/8/13 and submitted copy of requisition and results. (1) Missing copy of physician's order for tests, or documentation, such as might be found in progress notes, describing intent to obtain the tests. (2) Missing copy of documentation describing medical necessity for tests, such as might be found in physician's progress notes. Billed the following for multiple dates of service: CPT therapeutic radiology treatment planning complex, CPT therapeutic radiology simulation-aided field setting; complex, CPT intensity modulated treatment delivery (IMRT), single or multiple fields per treatment session, and CPT stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy. Missing the following documentation; 1) documentation that includes the therapeutic radiology treatment planning; complex, 2) therapeutic radiology simulation-aided field setting; complex; 3) the physician signed, dated documentation that includes the beneficiary name and includes, documentation of the intensity modulated treatment delivery and 4) documentation of the stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy billed. Initially received consult note, treatment sheets with no beneficiary name and initials only of RTTs, treatment plan, and invalid attestation statement for date span not individual date. Insufficient documentation to support billed services per the governing Local Coverage Determination (LCD) and Medicare guidelines. Provider billed for ultrasound of abdomen (CPT 76705) and submitted copy of report. In response to request for referring provider order and documentation of medical necessity, received a copy of the report and copy of an unsigned progress note for service after the billed date. (1) Missing copy of physician's order or documentation describing intent for test. (2) Missing copy of documentation describing medical necessity for test. Billing for physical therapy (PT) services (therapeutic procedures, manual therapy techniques and ultrasound) for date of service 10/24. Missing a certification of the plan of treatment that includes a date, or a delayed certification that includes a reason for the delay. Received a PT referral; initial PT evaluation with that includes a plan of care (POC); certification of the POC by the referring physician, that is not dated, that includes a fax date of 10/02, however, this is the fax Page 2 of 5

3 number for the PT not the certifying MD; recertification of the POC after the claim DOS; treatment notes; and therapy log for the DOS that includes billed modalities with total treatment time of 40 minutes, with US indicated as 12 minutes. Insufficient documentation. Billed psychotherapy, 45 minutes with patient and/or family member when performed with an evaluation and management (E/M) service. Missing provider duration of time spent with the beneficiary during psychotherapy. Visit note documents a start and end time however the billing provider did not specify if the time was used to perform psychotherapy or performed for CPT 99213, which was billed on line 1 of this claim. Requested additional documentation from the listed billing provider and received duplicate documentation. Billed Missing; 1) treating physician s authenticated psychotherapy progress note with time duration for therapy documenting therapeutic interventions (such as behavior modification, supportive interaction, and discussion of reality) applied in an attempt to produce therapeutic change; 2) documentation of beneficiary s capacity to participate in, and benefit from psychotherapy per LCD requirement. Documentation received includes visit note that supports E/M service billed on line 1. No psychotherapy service documented to support billed service. Billed CPT AT, Chiropractic manipulation 3-4 regions. Missing a copy of the initial evaluation/plan of Care and documentation of necessity to support AT modifier. Treatment appears to be maintenance, not acute. Provider billed for CMT to 3-4 regions (98941) for acute condition with modifier AT. Missing initial evaluation with initial treatment plan. Missing objective markers to substantiate that patient was improving in response to treatment. Unable to determine that condition remained acute or that clinical improvement had occurred or would be expected to occur. Maintenance therapy is not covered by Medicare. Billed CPT AT (chiropractic manipulative treatment (CMT); spinal; three to four regions). Missing: 1) signed and dated initial and re-evaluations with P.A.R.T Exam; 2) Signed and dated initial and subsequent treatment plans related to billed chiropractic services; 3) Need documentation of the regions of the spine that were manually manipulated on billed dates; and 4) Need clarification of the exact location of subluxation(s) of the spine. Submitted documentation included flow sheet, unsigned progress note with no patient identification on the form, ABN, and patient complaint form signed by the beneficiary. Without a treatment plan and documentation of areas of subluxation there is insufficient documentation submitted to support the billed service. Billed epidural steroid injection (CPT 62311, 77003). Missing LCD required documentation criteria: 1) initial evaluation including history and physical examination, diagnosis, pain and disability of moderate to severe degree, 2) documentation of conservative therapies that were tried and failed, 3) pre and post procedure evaluation. Received signed operative report, nursing and anesthesia pre op record, and intra op anesthesia record. No response to request for treating provider clinical records. Received only an unsigned pulmonary function test (PFT) report. Missing MD order or intent to order the pulmonary function test (CPT Q6) done; missing office visit notes to support medical necessity; missing provider authentication of the PFT report. Incorrect Coding - 21% of total errors Page 3 of 5

4 Provider billed for trimming 2-4 hyperkeratotic lesions (CPT 11056) and submitted copy of note describing debridement of 5 lesions. Code should be changed to CPT 11057; more than 4 lesions. Patient was diabetic with related peripheral neuropathy and peripheral artery disease with absent dorsalis pedis puls bilaterally. Hyperkeratoses were described as pre-ulcerative. Billed code requires three of the following three elements; comprehensive history, comprehensive exam, and moderate complexity medical decision making (MDM). Submitted documentation supports down code to by meeting comprehensive history, detailed exam, and moderate MDM. Billed CPT Documentation supports a down code to as billed with Detailed History (Limited Review of Symptoms (ROS)) Expanded Problem Focused Exam (2 body systems), and moderate complexity MDM per 1995 E/M guidelines. Billed (requires 3/3 key components; comprehensive history, comprehensive exam and high complexity MDM). Documentation supports down code to with comprehensive history, comprehensive exam and moderate MDM meeting 3/3 of the required key components. Billed requires 2 out of 3 key components; detailed history, detailed exam, and moderate complexity MDM. Submitted documentation supports down code to with Expanded Problem Focused History, Expanded Problem Focused exam using 1995 guidelines, and Low Complexity MDM. Billed 99222, requires 3 out of 3 key components comprehensive history, comprehensive exam, and moderate MDM. Submitted documentation supports a down code to with Detailed History (Limited ROS/No family History), Comprehensive Exam using 1995 E/M guidelines, and Moderate MDM. Submitted is an initial hospital care visit, billed as Documentation supports changing code to 99232, which requires 2 of the following 3 components: Expanded History, Expanded Exam, and Moderate MDM, with coding of Detailed History, Expanded Exam, and Moderate MDM. Billed is CPT Initial hospital care E/M service which requires 3/3 components (comprehensive history, comprehensive exam, high complexity MDM). Documentation supports down code to which requires 2 of 3 key components (expanded problem focused history, expanded problem focused exam, and moderate MDM). Meets with comprehensive history, expanded problem focused exam, and moderate MDM per 1995 E/M guidelines. Billed CPT Documentation supports down code to with a comprehensive history, detailed exam and MDM of high complexity. This meets 2 and exceeds 1 component for Billed CPT requires 2 of 3 components (detailed history, detailed exam, and high complexity MDM). Documentation supports a down code to as billed with Expanded Problem Focused History and Exam, and Moderate Complexity MDM per 1995 E/M guidelines. Provider billed for CPT for more than 30 minutes discharge management and submitted copy of discharge summary and progress note. Missing documentation of amount of time spent. Change code to Billed Emergency Department visit (CPT UA-25) but no GC modifier. Incorrectly coded and insufficient documentation submitted to support if the billing physician is a Teaching Physician in this setting, and the E/M service provided would need to meet the requirements and be billed with a GC modifier as required in CMS Internet-Only Manual, Publication , Chapter 15, section Page 4 of 5

5 Submitted is an initial nursing facility care visit, billed as AI, which requires 3 of the following 3 components: Comprehensive History, Comprehensive Exam, and Moderate MDM. Documentation supports recoding to AI (Unlisted evaluation and management service) as it fails to meet the minimum requirements for the E/M category billed, with Detailed History, No Exam, and Moderate MDM. Medically Unnecessary Service or Treatment 1% of total errors Missing the lab test result for folic acid; serum, therefore, the venipuncture is not medically necessary. Based on CERT error findings for this quarter, below are educational resources that can assist in avoiding these issues in your practice. CMS Resources Provider Signature Requirements - CMS Internet-Only Manual(IOM), Publication , Chapter 3, Section Requirements for Ordering and Following Orders for Diagnostic Tests CMS IOM, Publication , Chapter 15, section Home Services - CMS IOM, Publication , Chapter 12, section Teaching Physician Services CMS IOM, Publication , Chapter 12, section 100 Teaching Physician Services CMS IOM, Publication , Chapter 15, section Coverage of Outpatient Rehabilitation Therapy Services/Definitions/Date IOM, Publication , Chapter 15, section 220.A and Certification and Recertification section WPS Medicare Resources Local Coverage Determinations (LCDs) for: Chiropractic Services Epidural and Transforaminal Epidural Injections Psychiatry and Psychology Services Radiation Oncology Including Intensity Modulated Radiation Therapy (IMRT) Routine Foot Care Additional WPS Medicare web page resources: CERT Articles CERT Error Analysis Evaluation & Management Services (under Resources, Provider Specialties/Services) Note: Review results are based on Medicare regulations in place at the time services were rendered. Medicare providers are responsible for compliance with all current applicable Medicare coverage, coding and billing regulations upon claim submission. Page 5 of 5

Quarterly CERT Error Findings Report WPS GHA Part B J5 MAC ~ Iowa, Kansas, Missouri and Nebraska ~

Quarterly CERT Error Findings Report WPS GHA Part B J5 MAC ~ Iowa, Kansas, Missouri and Nebraska ~ Quarterly CERT Error Findings Report WPS GHA Part B J5 MAC ~ Iowa, Kansas, Missouri and Nebraska ~ This report provides details of Comprehensive Error Rate Testing (CERT) errors assessed January 1, 2018,

More information

HEALTH CHOICE GENERATIONS HMO SNP CHIROPRACTIC SERVICES FACT SHEET

HEALTH CHOICE GENERATIONS HMO SNP CHIROPRACTIC SERVICES FACT SHEET HEALTH CHOICE GENERATIONS HMO SNP CHIROPRACTIC SERVICES FACT SHEET - 2018 The purpose of this document is to detail the difference between medical and supplemental chiropractic services and the billing

More information

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services

DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services News Flash Looking for the latest Medicare Fee-For-Service (FFS) information? Then subscribe to a Medicare FFS Provider

More information

Physician s Compliance Guide

Physician s Compliance Guide Physician s Compliance Guide Updates to this guide will be posted on the Optum website and can be found at: http://www.optumcoding.com/product/updates/2013pcg/pcg13 Please use the following password to

More information

Will you documentation meet Medicare s requirements? Nicholas R. Payne D.C.

Will you documentation meet Medicare s requirements? Nicholas R. Payne D.C. Will you documentation meet Medicare s requirements? Nicholas R. Payne D.C. Understand what is covered by Medicare and the definition of Maintenance care. Understand the importance of the LCD and where

More information

Patient Price Information List January 1, 2018

Patient Price Information List January 1, 2018 In compliance with state law, Western Reserve Hospital is providing this price list containing our charges for Room and Board, Emergency Department, Operating Room, Physical Therapy, Pain Medicine and

More information

CONSULTATION REFRESHER

CONSULTATION REFRESHER 060310 BLAST CONSULTATION REFRESHER We have had many requests from clients recently asking how to correctly code Medicare consultations utilizing the new CMS requirements. Attached is a mini refresher

More information

2019 Patient Price Information List

2019 Patient Price Information List 2019 Patient Price Information List In compliance with state law, Genesis Healthcare System is providing this price list containing our charges for room and board, emergency department, operating room,

More information

Use the Physician Extender modifier for non-physician services. Additional acupuncture information is available later in this chapter.

Use the Physician Extender modifier for non-physician services. Additional acupuncture information is available later in this chapter. Chapter 18 Chiropractic Services Definition Chiropractic services are medically necessary therapies that employ manipulation and specific adjustment of body structures, such as the spinal column, provided

More information

PHYSICAL MEDICINE AND REHABILITATION CSHCN SERVICES PROGRAM PROVIDER MANUAL

PHYSICAL MEDICINE AND REHABILITATION CSHCN SERVICES PROGRAM PROVIDER MANUAL PHYSICAL MEDICINE AND REHABILITATION CSHCN SERVICES PROGRAM PROVIDER MANUAL NOVEMBER 2017 CSHCN PROVIDER PROCEDURES MANUAL NOVEMBER 2017 PHYSICAL MEDICINE AND REHABILITATION Table of Contents 30.1 Enrollment......................................................................

More information

Contractor Name: Novitas Solutions, Inc. Contractor Number: Contractor Type: MAC B. LCD ID Number: L34834 Status: A-Approved

Contractor Name: Novitas Solutions, Inc. Contractor Number: Contractor Type: MAC B. LCD ID Number: L34834 Status: A-Approved LCD for Blood Glucose Monitoring in a Skilled Nursing Facility (SNF) (L34834) Contractor Name: Novitas Solutions, Inc. Contractor Number: 12502 Contractor Type: MAC B LCD ID Number: L34834 Status: A-Approved

More information

This section includes billing guidelines and treatment information for alternative care providers including:

This section includes billing guidelines and treatment information for alternative care providers including: Alternative care Alternative care overview This section includes billing guidelines and treatment information for alternative care providers including: Acupuncturists/East Asian Medicine Practitioners

More information

Anesthesia Reimbursement

Anesthesia Reimbursement This drafted policy is open for a two-week public comment period. This box is not part of the drafted policy language itself, and is intended for use only during the comment period as a means to provide

More information

Proving Medical Necessity, Functional Improvement, and Maintenance Care By Dr. Ron Short, DC, MCS-P, CPC, CPCO

Proving Medical Necessity, Functional Improvement, and Maintenance Care By Dr. Ron Short, DC, MCS-P, CPC, CPCO Proving Medical Necessity, Functional Improvement, and Maintenance Care By Dr. Ron Short, DC, MCS-P, CPC, CPCO The Big Three Problems The three major complaints that Medicare has regarding chiropractic

More information

Patient Price Information List

Patient Price Information List In compliance with federal law, Bradford Regional Medical Center is providing this price list containing our room and board, inpatient service, emergency room, operating room, physical therapy and other

More information

A A ~l~js AM f'ricj\n ACADBl\IY OF 0RTllOPAEDIC SURGEONS ~ J AMERICAN A SOCIATION OF ORTHOPAEDIC SURGEONS. Therapy billing for beginners

A A ~l~js AM f'ricj\n ACADBl\IY OF 0RTllOPAEDIC SURGEONS ~ J AMERICAN A SOCIATION OF ORTHOPAEDIC SURGEONS. Therapy billing for beginners Therapy billing for beginners http://www.aaos.org/news/aaosnow/nov10/managing1.asp 1 of 4 3/25/2014 2:56 PM A A ~l~js AM f'ricj\n ACADBl\IY OF 0RTllOPAEDIC SURGEONS ~ J AMERICAN A SOCIATION OF ORTHOPAEDIC

More information

Blue Cross Blue Shield of Nebraska Spine Management Provider Training. Provider Training Presented by Leta Genasci

Blue Cross Blue Shield of Nebraska Spine Management Provider Training. Provider Training Presented by Leta Genasci Blue Cross Blue Shield of Nebraska Spine Management Provider Training Provider Training Presented by Leta Genasci NIA Magellan Training Program 2 NIA Magellan 1 Program Agenda Our Program 1. Authorization

More information

Medicare Updates Part 2. Tracy Cole, D.C.

Medicare Updates Part 2. Tracy Cole, D.C. Medicare Updates Part 2 Tracy Cole, D.C. tcoledc@gmail.com Tracy Cole, D.C., Bio u u u u CCA representative to Noridian Contractor Advisory Committee for California Member, ACA Medicare Committee Member,

More information

NOTE: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material that is copyrighted by

NOTE: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material that is copyrighted by NOTE: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material that is copyrighted by the American Medical Association. You are forbidden

More information

Medicare Myths-Busters: Dispelling Common Compliance Misconceptions. Learner Objectives. Learner Objectives

Medicare Myths-Busters: Dispelling Common Compliance Misconceptions. Learner Objectives. Learner Objectives Medicare Myths-Busters: Dispelling Common Compliance Misconceptions Rick Gawenda, PT President Gawenda Seminars & Consulting, Inc. September 30, 2017 Learner Objectives Identify the supervision requirements

More information

How Many Sections Is The Cpt Manual Divided Into

How Many Sections Is The Cpt Manual Divided Into How Many Sections Is The Cpt Manual Divided Into Vocabulary words for This is a review students can take as many times as they would like. 6. The CPT manual is divided into how many sections? Medicine

More information

CERT Oxygen Errors: The DME CERT Outreach and Education Task Force Responds

CERT Oxygen Errors: The DME CERT Outreach and Education Task Force Responds CERT Oxygen Errors: The DME CERT Outreach and Education Task Force Responds DME CERT Outreach and Education Task Force National Oxygen Webinar, July 22, 2014 1 Today s Presenters Michael Hanna, CERT Task

More information

NOTE: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material that is copyrighted by

NOTE: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material that is copyrighted by NOTE: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material that is copyrighted by the American Medical Association. You are forbidden

More information

Jurisdiction Georgia. Retirement Date N/A

Jurisdiction Georgia. Retirement Date N/A If you wish to save the PDF, please ensure that you change the file extension to.pdf (from.ashx). Local Coverage Determination (LCD): Surgery: Injections of the Spinal Canal (L32112) Contractor Information

More information

Record Keeping and Self-Auditing. Preparing for a CMS Audit

Record Keeping and Self-Auditing. Preparing for a CMS Audit Record Keeping and Self-Auditing Preparing for a CMS Audit Agenda Medicare Audit Overview Common Audit Findings Conducting a Mock Medicare Audit Hands-On Audit Exercise Why do we care? Medicare Chiropractic

More information

Local Coverage Article for Chiropractic Services (A47798) Contractor Information. Article Information. Contractor Name. Contractor Numbers

Local Coverage Article for Chiropractic Services (A47798) Contractor Information. Article Information. Contractor Name. Contractor Numbers Local Coverage Article for Chiropractic Services (A47798) Print Contractor Information Contractor Name Novitas Solutions, Inc. Contractor Numbers 12501, 12502, 12101, 12102, 12201, 12202, 12301, 12302,

More information

Harvard Pilgrim Spine Management Provider Training

Harvard Pilgrim Spine Management Provider Training Harvard Pilgrim Spine Management Provider Training NIA Training Program 2 NIA Program Agenda Our Program 1. Authorization Process 2. Other Program Components 3. Provider Tools and Contact Information RadMD

More information

Cost and Quality Information for Health Care Consumers Required by 2009 Wisconsin Act 146

Cost and Quality Information for Health Care Consumers Required by 2009 Wisconsin Act 146 Cost and Quality Information for Health Care Consumers Required by 2009 Wisconsin Act 146 Page 1 of 6 2009 Wisconsin Act 146 seeks to make health care costs and charges clearer to consumers. It requires

More information

Ultrasound Reimbursement Guide 2015: BioJet Fusion

Ultrasound Reimbursement Guide 2015: BioJet Fusion Ultrasound Reimbursement Guide 2015: BioJet Fusion Diagnosis codes explain the rationale for a given service and are a key factor in a payer s evaluation of medical necessity and coverage determination

More information

Room and Board Per Day Charges

Room and Board Per Day Charges In compliance with state law, Olean General Hospital is providing this price list containing our room and board, inpatient service, emergency room, operating room, physical therapy and other procedures.

More information

LABORATORY PROCEDURES IMAGING/RADIOLOGY PROCEDURES THERAPY GVH EMERGENCY DEPARTMENT PROCECURES

LABORATORY PROCEDURES IMAGING/RADIOLOGY PROCEDURES THERAPY GVH EMERGENCY DEPARTMENT PROCECURES PROCEDURE CHARGES / HOSPITAL may vary depending on circumstances. Prices subject to change. LABORATORY PROCEDURES Basic Metabolic Panel $112.00 80048 Comprehensive Metabolic Panel $140.00 80053 UA Micro

More information

Question: Are you using the KX modifier correctly on PT/OT claims?

Question: Are you using the KX modifier correctly on PT/OT claims? KX Modifiers February 15, 2018 Are you using the KX modifier correctly on PT/OT claims? One Medicare carrier has concerns that the KX modifier if not being used appropriately. National Government Services

More information

Taking Part B Therapy Beyond the $3,700 Threshold New Manual Medical Review Process Effective date October 1, 2012

Taking Part B Therapy Beyond the $3,700 Threshold New Manual Medical Review Process Effective date October 1, 2012 Taking Part B Therapy Beyond the $3,700 Threshold New Manual Medical Review Process Effective date October 1, 2012 Presented by: Leigh Ann Frick, PT, MBA Vice President of Clinical Services Heritage Healthcare

More information

CMS CLARIFICATION JIMMO VS. SEBELIUS

CMS CLARIFICATION JIMMO VS. SEBELIUS CMS CLARIFICATION JIMMO VS. SEBELIUS Liz Almeida-Sanborn, MS, PT, President Maria Maggi, PT, Vice President of Compliance Jodi Wenzel, MPT, Vice President of Operations OBJECTIVES Participants will: Understand

More information

Oncology Solutions Provider Training Program. Horizon NJ Health

Oncology Solutions Provider Training Program. Horizon NJ Health Oncology Solutions Provider Training Program Horizon NJ Health NIA Training Program NIA A Magellan Health Company 2 NIA Program Agenda Introduction to the Training Our Program 1. Authorization Process

More information

New Technology. New Technology. Summary. Data Collection. Hospital charge data used in APC grouping and payment

New Technology. New Technology. Summary. Data Collection. Hospital charge data used in APC grouping and payment New Technology New Technology APCs not based on clinical aspects of services they contain New Technology APCs based on cost of items or services Procedures moved from New Technology APCs to clinical APCs

More information

Chapter 4 Section Combined Heart-Kidney Transplantation (CHKT)

Chapter 4 Section Combined Heart-Kidney Transplantation (CHKT) Surgery Chapter 4 Section 24.3 Issue Date: May 7, 1999 Authority: 32 CFR 199.4(e)(5) 1.0 POLICY 1.1 is a TRICARE benefit that requires preauthorization. 1.1.1 A TRICARE Prime enrollee must have a referral

More information

Golden Plains Community Hospital

Golden Plains Community Hospital Prices The prices listed below are current for February 1, 2019 but are subject to change. Some prices listed are average prices for select services. If you would like an estimate for a service not listed

More information

Medicare & Dual Options. 1. Every page of the EMR document must include: a. Member Name b. Patient Identifiers (i.e. Date of Birth) c.

Medicare & Dual Options. 1. Every page of the EMR document must include: a. Member Name b. Patient Identifiers (i.e. Date of Birth) c. Medicare & SUBMITTING PROGRESS NOTES OR EMR You may use your own progress notes or Electronic Medical Record (EMR) to document the annual comprehensive examination. The EMR must include the elements indicated

More information

Golden Plains Community Hospital

Golden Plains Community Hospital Golden Plains Community Hospital Prices The prices listed below are current for January 1, 2019 but are subject to change. Some prices listed are average prices for select services. If you would like an

More information

Reimbursement Policy and Billing Guidelines for Chiropractic Services Effective April 1, 2006 for all BCBSMA Products (Revised September 2007)

Reimbursement Policy and Billing Guidelines for Chiropractic Services Effective April 1, 2006 for all BCBSMA Products (Revised September 2007) Reimbursement Policy and Billing Guidelines for Chiropractic Services Effective April 1, 2006 for all BCBSMA Products (Revised September 2007) Policy Statement Blue Cross Blue Shield of Massachusetts (BCBSMA)

More information

Hospital Charge Information List

Hospital Charge Information List Hospital Charge Information List To better inform our patients, Norton Healthcare has prepared the following price list of our charges for some of the more common reasons for a hospital visit. They include

More information

Corporate Medical Policy

Corporate Medical Policy Corporate Medical Policy Spinal Manipulation under Anesthesia File Name: Origination: Last CAP Review: Next CAP Review: Last Review: spinal_manipulation_under_anesthesia 5/1998 11/2017 11/2018 11/2017

More information

Non-Emergent Hyperbaric Oxygen (HBO) Therapy Reason Codes and Statements (Updated 7/3/17)

Non-Emergent Hyperbaric Oxygen (HBO) Therapy Reason Codes and Statements (Updated 7/3/17) Non-Emergent Hyperbaric Oxygen (HBO) Therapy s and Statements (Updated 7/3/17) Insufficient Documentation/General Documentation HBO1A Documentation does not include history and physical along with any

More information

FIRST COAST SERVICE OPTIONS FLORIDA MEDICARE PART B LOCAL COVERAGE DETERMINATION

FIRST COAST SERVICE OPTIONS FLORIDA MEDICARE PART B LOCAL COVERAGE DETERMINATION FIRST COAST SERVICE OPTIONS FLORIDA MEDICARE PART B LOCAL COVERAGE DETERMINATION CPT/HCPCS Codes 72192 Computed tomography, pelvis; without contrast material 72193 with contrast material(s) 72194 without

More information

Charting Smarter, not Longer: Basic Concepts in Outpatient Coding

Charting Smarter, not Longer: Basic Concepts in Outpatient Coding Charting Smarter, not Longer: Basic Concepts in Outpatient Coding Workshop WA01 SGIM 29 th Annual Meeting April 27, 2006 Sponsored by the SGIM Clinical Practice Task Force (CPTF) Faculty: Jeannine Engel,

More information

June 21, Harry Feliciano, MD, MPH Senior Medical Director Part A Policy Palmetto GBA PO Box (JM) AG-275 Columbia, SC 29202

June 21, Harry Feliciano, MD, MPH Senior Medical Director Part A Policy Palmetto GBA PO Box (JM) AG-275 Columbia, SC 29202 June 21, 2018 Harry Feliciano, MD, MPH Senior Medical Director Part A Policy Palmetto GBA PO Box 100238 (JM) AG-275 Columbia, SC 29202 Submitted electronically: A.Policy@PalmettoGBA.com RE: Proposed LCD

More information

Annual Notice to Providers (2014)

Annual Notice to Providers (2014) 8901 West Lincoln Avenue, West Allis, WI 53227 5400 Pearl, Rosemont, IL 60018 Annual Notice to Providers (2014) May 2014 Dear Physician/Client: The Medicare Program encourages clinical laboratories to

More information

Medicare Documentation Guidelines For Physical Therapy 2011

Medicare Documentation Guidelines For Physical Therapy 2011 Medicare Documentation Guidelines For Physical Therapy 2011 As we move right along with our review of documentation strategies, this week we will for Medicare Part B and for carriers who follow Medicare

More information

Corporate Medical Policy

Corporate Medical Policy Corporate Medical Policy Spinal Manipulation under Anesthesia File Name: Origination: Last CAP Review: Next CAP Review: Last Review: spinal_manipulation_under_anesthesia 5/1998 10/2018 10/2019 10/2018

More information

2017 NBCCEDP Allowable Procedures and Relevant CPT Codes

2017 NBCCEDP Allowable Procedures and Relevant CPT Codes 2017 NBCCEDP Allowable Procedures and Relevant CPT Codes Listed below are allowable procedures and the corresponding suggested Current Procedural Terminology (CPT) codes for use in the National Breast

More information

Local Coverage Determination (LCD) for Chiropractic Services (L34816) (Posted for Notice)

Local Coverage Determination (LCD) for Chiropractic Services (L34816) (Posted for Notice) Local Coverage Determination (LCD) for Chiropractic Services (L34816) (Posted for Notice) Print Contractor Information Contractor Name Novitas Solutions, Inc. Contractor Numbers 04911, 07101, 07102, 07201,

More information

MEDICAL POLICY Drug Testing

MEDICAL POLICY Drug Testing POLICY: PG0069 ORIGINAL EFFECTIVE: 01/01/11 LAST REVIEW: 11/13/18 MEDICAL POLICY Drug Testing GUIDELINES This policy does not certify benefits or authorization of benefits, which is designated by each

More information

2017 Spring Convention

2017 Spring Convention 2017 Spring Convention CPT Coding & Modifiers Paul Andrews Please scan IN at the start of class Please scan OUT at the end of class You must attend the entire session to earn your credit(s) for this class

More information

Effective Date: 1/1/2019 Section: MED Policy No: 391 Medical Policy Committee Approved Date: 6/17; 12/18

Effective Date: 1/1/2019 Section: MED Policy No: 391 Medical Policy Committee Approved Date: 6/17; 12/18 Effective Date: 1/1/2019 Section: MED Policy No: 391 Medical Policy Committee Approved Date: 6/17; 12/18 1/1/2019 Medical Officer Date APPLIES TO: Medicare Only See Policy CPT/HCPCS CODE section below

More information

Patient Price Information List

Patient Price Information List Patient Price Information List In compliance with state law, Morrow County Hospital is providing this price list containing our charges for room and board, Emergency Department, operating room, physical

More information

For purposes of this policy, a session is defined as all epidural or spinal procedures performed on a single calendar day.

For purposes of this policy, a session is defined as all epidural or spinal procedures performed on a single calendar day. National Imaging Associates, Inc. Clinical guidelines LUMBAR EPIDURAL INJECTIONS (Lumbar/Sacral Interlaminar Epidural) (Lumbar/Sacral Transforaminal Epidural) Original Date: October 2015 Page 1 of 5 FOR

More information

CHAPTER 4 SECTION 24.2 HEART TRANSPLANTATION TRICARE POLICY MANUAL M, AUGUST 1, 2002 SURGERY. ISSUE DATE: December 11, 1986 AUTHORITY:

CHAPTER 4 SECTION 24.2 HEART TRANSPLANTATION TRICARE POLICY MANUAL M, AUGUST 1, 2002 SURGERY. ISSUE DATE: December 11, 1986 AUTHORITY: SURGERY CHAPTER 4 SECTION 24.2 ISSUE DATE: December 11, 1986 AUTHORITY: 32 CFR 199.4(e)(5) I. CPT 1 PROCEDURE CODES 33940-33945, 33975-33980 II. POLICY A. Benefits are allowed for heart transplantation.

More information

Policy Specific Section:

Policy Specific Section: Payment Policy Anesthesia Services Type: Payment Policy Policy Specific Section: Payment Original Policy Date: Effective Date: October 1, 2010 06-16-2014 Description Anesthesia services consist of the

More information

Specifications Manual Update: Hospital Outpatient Quality Reporting (OQR) Program

Specifications Manual Update: Hospital Outpatient Quality Reporting (OQR) Program Specifications Manual Update: Hospital Outpatient Quality Reporting (OQR) Program Melissa Thompson, RN, BSN Specifications Manual Lead Hospital OQR Program Support Contractor January 23, 2019 Featuring:

More information

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. Rehabilitative Therapy Services

KANSAS MEDICAL ASSISTANCE PROGRAM. Fee-for-Service Provider Manual. Rehabilitative Therapy Services Fee-for-Service Provider Manual Rehabilitative Therapy Services Updated 12.2015 PART II (PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH/LANGUAGE PATHOLOGY) Introduction Section BILLING INSTRUCTIONS Page

More information

Spine Management Program. NIA Magellan & Presbyterian Health Plan

Spine Management Program. NIA Magellan & Presbyterian Health Plan Spine Management Program NIA Magellan & Presbyterian Health Plan Training Program 2 Program Agenda Program 1. Authorization Process 2. Other Program Components 3. Provider Tools and Contact Information

More information

Allergen specific, each allergen is covered up to 50 units per patient annually; additional units would require medically necessary review.

Allergen specific, each allergen is covered up to 50 units per patient annually; additional units would require medically necessary review. ALAMEDA ALLIANCE FOR HEALTH REFERRAL AND PRIOR AUTHORIZATION () GRID FOR MEDICAL BENEFITS FOR DIRECTLY CONTRACTED PROVIDERS ONLY Effective 01/01/2019 Before services are provided, please check: Member

More information

MDwise Community Health Network Hoosier Healthwise Medical Services that Require Prior Authorization

MDwise Community Health Network Hoosier Healthwise Medical Services that Require Prior Authorization MDwise Community Health Network Hoosier Healthwise Medical Services that Require Prior Authorization Medical services that require Prior Authorization Type of Service Requires PA Coding All Out of Network

More information

Jurisdiction New Mexico. Retirement Date N/A

Jurisdiction New Mexico. Retirement Date N/A Local Coverage Determination (LCD): Chiropractic Services (L34816) Contractor Information Contractor Name Novitas Solutions, Inc. opens in new Contract Number 04212 Contract Type A and B MAC J - H LCD

More information

HIV/AIDS Care: The Service (CPT) Code Evaluation and Management Series 1

HIV/AIDS Care: The Service (CPT) Code Evaluation and Management Series 1 HIV/AIDS Care: The Service (CPT) Code Evaluation and Management Series 1 Prepared By: Stacey L. Murphy, MPA, RHIA, CPC AHIMA Approved ICD-10-CM/ICD-10-CM Trainer Learning Outcomes Explain the importance

More information

National Imaging Associates, Inc. Clinical guidelines CHIROPRACTIC SERVICES. Original Date: Page 1 of FOR CMS (MEDICARE) MEMBERS ONLY

National Imaging Associates, Inc. Clinical guidelines CHIROPRACTIC SERVICES. Original Date: Page 1 of FOR CMS (MEDICARE) MEMBERS ONLY National Imaging Associates, Inc. Clinical guidelines CHIROPRACTIC SERVICES CPT4 Codes: Please refer to pages 2-10 LCD ID Number: L35424 Novitas: J-H: DC, DE, MD, NJ, PA J-L: AR, CO, LA, MS, NM, OK, TX

More information

MEDICAL POLICY: Telehealth Services

MEDICAL POLICY: Telehealth Services POLICY: PG0142 ORIGINAL EFFECTIVE: 01/01/08 LAST REVIEW: 12/12/17 MEDICAL POLICY: Telehealth Services GUIDELINES This policy does not certify benefits or authorization of benefits, which is designated

More information

Icd 10 code for ct pelvis with contrast

Icd 10 code for ct pelvis with contrast Icd 10 code for ct pelvis with contrast November 16, 2009. How to Code for CT Angiography. By Anthony McCallum, CPC, CCS, CIRCC, CPC-I Radiology Today Vol. 10 No. 18 P. 12. CT. procedure code and description

More information

b. To facilitate the management decision of a patient with an equivocal stress test.

b. To facilitate the management decision of a patient with an equivocal stress test. National Imaging Associates, Inc. Clinical guidelines EBCT HEART CT & HEART CT CONGENITAL CCTA CPT4 Codes: 75571 EBCT 75572, 75573 Heart CT & Heart CT Congenital 75574 - CCTA LCD ID Number: L33559 J K

More information

Eastern Maine Medical Center Patient Price Information Effective October 1, 2017 September 30, 2018

Eastern Maine Medical Center Patient Price Information Effective October 1, 2017 September 30, 2018 Eastern Maine Medical Center Patient Price Information Effective October 1, 2017 September 30, 2018 To help our patients make informed health care decisions, Eastern Maine Medical Center has provided pricing

More information

Medical Affairs Policy

Medical Affairs Policy Medical Affairs Policy Service: Back Pain Procedures-Epidural Injection (Caudal Epidural, Selective Nerve Root Block, Interlaminar, Transforaminal, Translaminar Epidural Injection) PUM 250-0015-1706 Medical

More information

OIG Work Plan for Orthotics

OIG Work Plan for Orthotics OIG Work Plan for Orthotics February 1, 2018 We recently heard that the government will be focusing audits on off the shelf orthotics. We have tried to find information but have not been successful. Are

More information

MEDICAL CODING FUNDAMENTALS

MEDICAL CODING FUNDAMENTALS Medical Coding Fundamentals Goldsmith, Susan ISBN-13: 9780073374987 Table of Contents MEDICAL CODING FUNDAMENTALS CHAPTER 1: MEDICAL TERMINOLOGY, ANATOMY, AND PHYSIOLOGY Word Elements Root Words Combining

More information

(ii) Abnormality in the range of motion; and. (b) At least one of the following two symptoms is present:

(ii) Abnormality in the range of motion; and. (b) At least one of the following two symptoms is present: ACTION: Final DATE: 04/28/2016 11:22 AM 5160-8-11 Spinal manipulation and related diagnostic imaging services. (A) Scope. This rule sets forth provisions governing payment for professional, non-institutional

More information

Claim Submission. Agenda 1/31/2013. Payment Basics

Claim Submission. Agenda 1/31/2013. Payment Basics February 2013 Jean C. Russell, MS, RHIT jrussell@epochhealth.com Richard Cooley, BA, CCS rcooley@epochhealth.com 518-430-1144 2 Payment Basics Agenda 2013 PT / OT / SP Codes Deleted Codes New Codes Significant

More information

Chapter. CPT only copyright 2008 American Medical Association. All rights reserved. 28Physical Medicine and Rehabilitation

Chapter. CPT only copyright 2008 American Medical Association. All rights reserved. 28Physical Medicine and Rehabilitation Chapter 28Physical Medicine and Rehabilitation 28 28.1 Enrollment...................................................... 28-2 28.2 Benefits, Limitations, and Authorization Requirements......................

More information

Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website. Jurisdiction Texas. Retirement Date N/A

Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website. Jurisdiction Texas. Retirement Date N/A Local Coverage Determination (LCD): Chiropractic Services (L35424) Links in PDF documents are not guaranteed to work. To follow a web link, please use the MCD Website. Contractor Information Contractor

More information

INDIANA HEALTH COVERAGE PROGRAMS

INDIANA HEALTH COVERAGE PROGRAMS INDIANA HEALTH COVERAGE PROGRAMS PROVIDER CODE TABLES Medical Review Team s Due to possible changes in Indiana Health Coverage Programs (IHCP) policy or national coding updates, inclusion of a code on

More information

NIA Magellan 1 Medical Specialty Solutions

NIA Magellan 1 Medical Specialty Solutions NIA Magellan 1 Medical Specialty Solutions Florida Blue Spine Management- Provider Training Presented by: Michele L. DeCaprio, MBA Manager, Provider Relations 1 NIA Magellan refers to National Imaging

More information

National Imaging Associates, Inc. (NIA) Frequently Asked Questions (FAQ s) For Sunshine Health Providers

National Imaging Associates, Inc. (NIA) Frequently Asked Questions (FAQ s) For Sunshine Health Providers National Imaging Associates, Inc. (NIA) Frequently Asked Questions (FAQ s) For Sunshine Health Providers Question GENERAL Why did Sunshine Health implement an outpatient imaging program? Answer To improve

More information

Ultrasound and Fluoroscopic Paravertebral Facet Joint Injections

Ultrasound and Fluoroscopic Paravertebral Facet Joint Injections Policy Number FAC06222011RP Ultrasound and Fluoroscopic Approved By UnitedHealthcare Medicare Committee Current Approval Date 06/25/2014 IMPORTANT NOTE ABOUT THIS REIMBURSEMENT POLICY This policy is applicable

More information

Cahaba Medicare Policy Primer 1,2 for Apligraf

Cahaba Medicare Policy Primer 1,2 for Apligraf Cahaba Medicare Policy Primer 1,2 for Apligraf MAC A: AL, GA & TN MAC B: AL, GA, & TN LCD# 31428 Indications Applied to partial- or full-thickness ulcers of the lower extremities (see individual product

More information

Radiology Coding. Copyright. Today s Goal 8/17/2010. Answer your questions! Melody W. Mulaik CODING

Radiology Coding. Copyright. Today s Goal 8/17/2010. Answer your questions! Melody W. Mulaik CODING Radiology Coding Tips & Traps Melody W. Mulaik 1 877 6 CODING melody.mulaik@codingstrategies.com The material contained in this presentation and handout are distributed under copyright by Coding Strategies,

More information

Medicare Benefit Policy Manual

Medicare Benefit Policy Manual Medicare Benefit Policy Manual Chapter 15 Covered Medical and Other Health Services Table of Contents (Rev. 235, 07-11-17) Transmittals for Chapter 15 10 - Supplementary Medical Insurance (SMI) Provisions

More information

Defining Non-Compounded Sclerotherapy

Defining Non-Compounded Sclerotherapy Defining Non-Compounded Sclerotherapy December 14, 2017 I m not sure I understand the new vein surgery codes in the 2018 CPT manual. Can you explain what non- compounded means? The new 2018 coded, 36465,

More information

Hospital OQR Quality Measures and Timelines for CY 2015 and Subsequent Payment Determinations

Hospital OQR Quality Measures and Timelines for CY 2015 and Subsequent Payment Determinations OQR Quality Measures and Timelines for CY 2015 and Subsequent Payment Determinations Data collection, implementation, and public reporting information for each measure are detailed by measure set in the

More information

Medicare Physical Therapy Billing Guidelines 2012

Medicare Physical Therapy Billing Guidelines 2012 Medicare Physical Therapy Billing Guidelines 2012 Important Notice! A random sample of APTA members will soon be selected to respond to a survey about new physical therapy evaluation and reevaluation CPT.

More information

Therapy Services INDIANA HEALTH COVERAGE PROGRAMS. Copyright 2017 DXC Technology Company. All rights reserved.

Therapy Services INDIANA HEALTH COVERAGE PROGRAMS. Copyright 2017 DXC Technology Company. All rights reserved. INDIANA HEALTH COVERAGE PROGRAMS PROVIDER REFERENCE M ODULE Therapy Services L I B R A R Y R E F E R E N C E N U M B E R : P R O M O D 0 0 0 4 9 P U B L I S H E D : A U G U S T 1, 2 0 1 7 P O L I C I E

More information

RADIATION THERAPY SERVICES CSHCN SERVICES PROGRAM PROVIDER MANUAL

RADIATION THERAPY SERVICES CSHCN SERVICES PROGRAM PROVIDER MANUAL RADIATION THERAPY SERVICES CSHCN SERVICES PROGRAM PROVIDER MANUAL APRIL 2018 CSHCN PROVIDER PROCEDURES MANUAL APRIL 2018 RADIATION THERAPY SERVICES Table of Contents 34.1 Enrollment......................................................................

More information

Back To Chiropractic Continuing Education Seminars Ethics & Law Medicare Billing ~ 2 Hours

Back To Chiropractic Continuing Education Seminars Ethics & Law Medicare Billing ~ 2 Hours Welcome: Back To Chiropractic Continuing Education Seminars Ethics & Law Medicare Billing ~ 2 Hours This course counts as 2 Hours of CE for Ethics & Law Medicare Billing for the Chiropractic Board of Examiners

More information

This LCD recognizes these two distinct treatment approaches and is specific to treatment delivery:

This LCD recognizes these two distinct treatment approaches and is specific to treatment delivery: National Imaging Associates, Inc. Clinical guidelines STEREOTACTIC RADIOSURGERY (SRS) AND STEREOTACTIC BODY RADIATION THERAPY (SBRT) CPT4 Codes: 77371, 77372, 77373 LCD ID Number: L33410 J-N FL Responsible

More information

Chapter 18 Section 15. Department Of Defense (DoD) Applied Behavior Analysis (ABA) Pilot For Non-Active Duty Family Members (NADFMs)

Chapter 18 Section 15. Department Of Defense (DoD) Applied Behavior Analysis (ABA) Pilot For Non-Active Duty Family Members (NADFMs) Demonstrations And Pilot Projects Chapter 18 Section 15 Department Of Defense (DoD) Applied Behavior Analysis (ABA) Pilot 1.0 PURPOSE Under authority of 10 United States Code (USC) 1092, TRICARE will continue

More information

Spinal and Trigger Point Injections

Spinal and Trigger Point Injections Spinal and Trigger Point Injections I. Policy University Health Alliance (UHA) will reimburse for nonsurgical interventional treatment for subacute and chronic spinal pain when determined to be medically

More information

Radiation Therapy Services

Radiation Therapy Services Radiation Therapy Services Chapter.1 Enrollment..................................................................... -2.2 Benefits, Limitations, and Authorization Requirements...........................

More information

Code Treatment Standard Uses Indicator Concern Actions 7xxxx Diagnostic services and procedures, general. Provided early and often in treatment

Code Treatment Standard Uses Indicator Concern Actions 7xxxx Diagnostic services and procedures, general. Provided early and often in treatment 7xxxx Diagnostic services and procedures, general Provided early and often in treatment 72052 Radiologic examination, spine, cervical; complete, including oblique and flexion and/or extension studies 90887

More information

NEW YORK STATE MEDICAID PROGRAM CHIROPRACTOR MANUAL

NEW YORK STATE MEDICAID PROGRAM CHIROPRACTOR MANUAL NEW YORK STATE MEDICAID PROGRAM CHIROPRACTOR MANUAL POLICY GUIDELINES Table of Contents SECTION I - REQUIREMENTS FOR PARTICIPATION IN MEDICAID...2 WHO MAY PROVIDE CARE...2 LIMITED CHIROPRACTIC SERVICE

More information

F. F. Thompson Hospital Hospital Charges (Price Line Common Requested)

F. F. Thompson Hospital Hospital Charges (Price Line Common Requested) F. F. Thompson Hospital Hospital s (Price Line Common Requested) Contact the Price Line for Verification and Tests/Procedures Not Listed (585)396-6194 Lab Tests Venipuncture $8.00 Lipid Panel $60.00 BMP

More information

Office of Billing Compliance 2014 Professional Coding, Billing and Documentation Program. Diagnostic Radiology

Office of Billing Compliance 2014 Professional Coding, Billing and Documentation Program. Diagnostic Radiology Office of Billing Compliance 2014 Professional Coding, Billing and Documentation Program Diagnostic Radiology Prepared by: Medical Compliance Services, Miller School of Medicine/University of Miami and

More information