APC Answer Letter, February 2009
APC Answer Letter, February 1, 2009
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Billing radiology exams: Don’t bill two exams for radiology department services.
Cardiac Holter monitoring: Check medical necessity when billing over 48 hours.
Coding auditory MRIs: Learn which studies are separately reportable.
E/M auditing: Resolve differences between FI, facility methodologies.
Independently bilateral procedures: Find, use comprehensive list of independently bilateral procedures.
Lesion size: Don’t be tempted to use pathology reports for coding.
Modifier –GY: Discover when, how to report modifier -GY when billing SADs.
Travel allowance: Bill properly for collection of specimens from homebound patients.
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