Compliance Question of the Week

For the Week of October 15, 2018

Cardiology

Cardiology Question for the Week of October 15, 2018

Question:

I have a provider who saw a patient with an E/M but also did an isuprel challenge, 93623. Since that is an add-on code, is there anything we can bill for this service? Should I use an unlisted code?

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Laboratory

Laboratory Question for the Week of October 15, 2018

Question:

When submitting an electronic claim for testing, is it the performing lab’s CLIA number included or the referral lab?

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Pharmacy

Pharmacy Question for the Week of October 15, 2018

Question:

Are there any Medicare guidelines for using an electronic signature when ordering medications?

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Radiology

Radiology Question for the Week of October 15, 2018

Question:

We received an order for a computed tomography (CT) of the right ankle without contrast material and a CT of the right foot w/o on the same patient. Can we charge for both procedures separately if we separately scan each part? I know they both use the same CPT® code 73700 (CT, lower extremity; without contrast material). If we were to scan the entire region (toes to mid leg) in one scan I assume in that case we would only charge 73700 one time.

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Respiratory

Respiratory Question for the Week of October 15, 2018

Question:

What codes would be assigned for a six-minute walk test?

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General

General Question for the Week of October 15, 2018

Question:

I have heard there is a new value-based bundled payment model for Medicare. Can you provide any information about this?

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