Compliance Question of the Week

For the Week of February 11, 2019

Cardiology

Cardiology Question for the Week of February 11, 2019

Question:

Can we code 93655 in addition to 93653 when the initial arrhythmia was atrial tachycardia (AT) in right atrium but then an atrial flutter (atypical) was discovered in the left atrium? Technically, this is a different arrhythmia; however, if both were solo, would they both map to the same 93653?

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Laboratory

Laboratory Question for the Week of February 11, 2019

Question:

Does the hospital still have the option to bill Medicare for the test if all of the conditions for the new laboratory DOS exception are met?

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Pharmacy

Pharmacy Question for the Week of February 11, 2019

Question:

What are the conditions for an oral anti-cancer drug to be covered under Part B?

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Radiology

Radiology Question for the Week of February 11, 2019

Question:

Is there a bilateral code for x-rays of the first toe on the left foot and the fourth toe on the right foot?

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Respiratory

Respiratory Question for the Week of February 11, 2019

Question:

Can respiratory therapists (RTs) perform smoking and tobacco-use cessation counseling services for Medicare patients? Since the RTs really don’t submit claims, can the hospital bill a technical component if the services are performed by an RT under physician order (i.e., under the Medicare incident-to policy)?

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General

General Question for the Week of February 11, 2019

Question:

Which IV hydration codes are potentially impacted by a proposed RAC audit?

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