by kkluglein | Jan 15, 2021 | Blog, Tips & Expertise
Q: Can we count resident’s time?A: No. Teaching physician rules haven’t changed. Resident time is not billable. Q: Do you need to document exactly how you spent your time with the patient, or just the total minutes?A: It is recommended to document total minutes plus...
by kkluglein | Jan 8, 2021 | Blog
In a discussion about spinal anatomy, one of my coworkers once said, “It’s not so much that the spinal column is three-dimensional, it’s more five-dimensional.” I think that is an apt description of the vertebral segments that stack one on top of the other to compose...
by kkluglein | Dec 11, 2020 | Blog, Tips & Expertise
Q: Can I always just use G2212 if our organization follows only CMS guidelines? A: It will depend on whether or not the payer accepts the G2212. HCG would advise to write an internal policy for coders to follow for coding of prolonged services using codes 99417 vs....
by Kristi Pollard | Jun 22, 2020 | Blog, Tips & Expertise
Q: Can you explain when the approach for laparoscopically-assisted procedure through an orifice would be used? A: This approach was added to the GI system in fiscal year 2018 to report a laparoscopically-assisted anal-pull through procedure. This procedure is...
by Ed OBeirne | Aug 5, 2019 | Blog
Let’s suppose IV hydration is initiated on a patient, running consecutively and started at 11:45pm on day 1 until 1:20 am on day 2. That’s one hour and 35 minutes of total running time by the clock, so it’s worth one initial and one additional CPT hour. But only 15...