CMS is proposing significant changes to certain appeal processes for Medicare beneficiaries. In this Q&A, Kimberly A. Hoy, JD, CPC, director of Medicare and compliance for HCPro LLC, in Chicago, explains how the rule could affect hospitals, including new required notices and potential...Read More »
Q: How do you bill operating room (OR), anesthesia, and recovery time for cosmetic and medically necessary procedures performed during the same encounter?Read More »
Q: Are we allowed to bill the facility evaluation and management (E/M) service if a patient was triaged then left without being seen (LWBS) by a physician/nonphysician practitioner?Read More »
Q: If a patient in the emergency department (ED) leaves without being seen (LWBS) by a physician/nonphysician practitioner, should we have facility charges?Read More »
Q: For patients in the emergency department who present with a pulmonary concern, would a pulse oximetry reading performed after the initial intake reading be considered separately billable?Read More »