Epidural Reimbursement question
So I got a question for everyone. I'm starting practice fresh outta fellowship, so little new to the area of billing and collections. Say I think someone is a candidate for bilateral L4 and L5 transforaminal ESI. Does that get paid if you bill that? Or is there some limit to how many epidurals you do before insurers stop paying it? What about Medicare/Medicaid specifically as that's what I'll likely be seeing most.
We didn't do 4 regions in fellowship hardly ever, though not sure if it...
Epidural Reimbursement question (Source: Student Doctor Network)
Source: Student Doctor Network - July 22, 2017 Category: Universities & Medical Training Authors: soccerpunk600 Source Type: forums
Fraudulent billing? Trauma codes for elective procedures?
How do DPMs get away with billing trauma codes for elective procedures?
I've seen DPMs bill for a ORIF talo-tarsal dislocation on a pediatric flatfoot using an arthroereisis implant. Those same people then bill for a subtalar fusion using an arthroereisis implant in adults.
I've seen DPMs bill for both a TMT arthrodesis and ORIF of 1st TMT dislocation for a lapidus bunionectomy.
Now I hear DPMs are billing subchondroplasty of the talus as an ORIF of talar fracture.
When does it end? Who...
Fraudulent billing? Trauma codes for elective procedures? (Source: Student Doctor Network)
Source: Student Doctor Network - June 22, 2017 Category: Universities & Medical Training Authors: Ankle Breaker Source Type: forums
How does billing when moonlighting work?
So this may have been discussed in a previous thread, but I wasn't really able to find anyone answering my specific question.
From what I've seen on here in a few different sub-forums and threads, residents aren't able to bill for seeing patients until after they they've finished their residency. At the same time, from what I understand, people can start moonlighting as soon as they pass Step 3. So how does this work knowing that when they moonlight they sometimes are working on their own?...
How does billing when moonlighting work? (Source: Student Doctor Network)
Source: Student Doctor Network - June 17, 2017 Category: Universities & Medical Training Authors: Stagg737 Source Type: forums
Question on Part D billing pain meds
There is a patient getting rxs for 1 LA and 1 SA opiate monthly. We are not sure if his doctor has done a PA. The LA always goes through but the SA sometimes rejects, sometimes goes through. Recently both went through, but the SA was reversed for a mfg change, then rejected when reprocessed. Called the insurance, they say reject is for exceeding morphine equivalent and needs PA. Says they have no record of the initial claim even though I have a leaflet with a claim # and a copay...
Question on Part D billing pain meds (Source: Student Doctor Network)
Source: Student Doctor Network - June 10, 2017 Category: Universities & Medical Training Authors: Baalzeebub Source Type: forums
How do you bill for yourself?
Question: Are there any solo doctors here?
Do you do your own billing? if so, how does anesthesia billing work? I know that its based on units and each insurance company will pay differently based on units.
I see these AMC's offering 520 K salary - infact, I have one contract in hand for 520K, 10 weeks off, all benefits paid, q8 call in a place where I would like to live, but my wife would not.
How is this possible?
I would however, like to do half pain and half anesthesia in an area...
How do you bill for yourself? (Source: Student Doctor Network)
Source: Student Doctor Network - June 5, 2017 Category: Universities & Medical Training Authors: neutro Source Type: forums
Critical Care Time Billing Question (for the experts)
- I'm unclear as to one particular aspect of critical care time billing: just how long can and should you bill for.
Example: Two shifts ago, I took care of a snowbird couple from Canada that both had carbon monoxide poisoning (his COHb% was 19, hers was 15). I had them both sit and suck on 100% NRB facemasks for 3-4 hours while local fire/police went and secured the scene. They recovered in full, and repeat ABGs had them both around 1-2% COHb. I discharged them both home.
Can I...
Critical Care Time Billing Question (for the experts) (Source: Student Doctor Network)
Source: Student Doctor Network - May 30, 2017 Category: Universities & Medical Training Authors: RustedFox Source Type: forums
Genicular coding
My billing/coding people are telling me that a three nerve genicular block can only be billed as a single nerve block, 64450, one unit. This seems like you should be able to bill 3 units or use -51 modifier, and get paid for 3 nerves
Which is it?
And, can you use 77002 or is that gone from all nerve blocks now?
Sent from my iPhone using SDN mobile (Source: Student Doctor Network)
Source: Student Doctor Network - May 18, 2017 Category: Universities & Medical Training Authors: emd123 Source Type: forums
"Disease management"
So i went to an "endocrinologist" a while back, and they charged me for both the office visit, and they charged me for "disease management" over $200 bucks, with a cose of S0315. The offices which are now all closed across the state claim that they are *two* separate things to have an office visit AND a disease evaluation. I say WTH? I am filling a fraud charge w/my insurance and making a complain w/the state medical board. How can they try to charge for the same thing twice? The billing...
"Disease management" (Source: Student Doctor Network)
Source: Student Doctor Network - May 16, 2017 Category: Universities & Medical Training Authors: Dog_luver Source Type: forums
Prp
PRP
My practice has asked me to integrate PRP into my practice.
Who of you are doing this? What is your set up. What body parts... Are you using ultrasound and do you need it really with these injections on low body weight athletes? Obviously anatomic localization not too hard on these folks but what is your experience. PM me regarding billing. We are not looking at this as a big profit center but rather to offer a service to our sports patients rather than being sent out....
Prp (Source: Student Doctor Network)
Source: Student Doctor Network - May 12, 2017 Category: Universities & Medical Training Authors: murphles Source Type: forums
Billing for one mbb (1/2 a facet joint)?
I did MBBs on a pt for the levels above and below a fusion (L1 and DPR L5). Did not do the MBB immediately adjacent to the pedicle with hardware, so basically I really just denervated 1/2 of two different facet joints...
How do you guys bills this?
My biller is telling me:
64493-50
64494-50
Does not seem correct?
Thanks (Source: Student Doctor Network)
Source: Student Doctor Network - April 28, 2017 Category: Universities & Medical Training Authors: Timeoutofmind Source Type: forums
Days out post-op ISB?
We have one of our better ortho docs who has started requesting interscalene blocks for his patients prior to therapy about a week out. I have done one so far just to keep things smooth, but am wondering how to be documenting/billing to make sure this is above the board. We are a private non-pain group.
thanks (Source: Student Doctor Network)
Source: Student Doctor Network - April 27, 2017 Category: Universities & Medical Training Authors: gasmark Source Type: forums
Maximizing billing in c/l psychiatry
So I'm probably going to start a position with a sizeable C/L component. I'm aware of the horrors of trying to make ends meet as a C/L psychiatrist. The unfortunate nature of this position is that clinical incentives are based on RVU collections and not RVUs Billed, which means I'm especially vulnerable to being screwed. This is made even more awesome by the fact that we are a safety net hospital and therefore a lot of my consults will be on unisured patients.
Was wondering if anyone had...
Maximizing billing in c/l psychiatry (Source: Student Doctor Network)
Source: Student Doctor Network - April 26, 2017 Category: Universities & Medical Training Authors: masterofmonkeys Source Type: forums
How to go about moonlighting?
For those of you who have moonlit, how did you go about finding a gig?
I've put out some feelers locally for inpatient medicine work, and people are excited till I remind them about not billing TRICARE for my services, then the mood changes because evidently a lot of our beneficiaries end up at the local civilian facilities. However, I'm not excited about giving up extra precious off-time driving to a far-away place.
I need to do this to head off skill atrophy; our census and acuities are...
How to go about moonlighting? (Source: Student Doctor Network)
Source: Student Doctor Network - April 21, 2017 Category: Universities & Medical Training Authors: denali Source Type: forums
Medicare billing for psychotherapy
(Source: Student Doctor Network)
Source: Student Doctor Network - April 20, 2017 Category: Universities & Medical Training Authors: michaelrack Source Type: forums
Private Practice Questions!
Hey folks, I'm looking to jump into private practice in the next 3-6 months and seeking some logistical pointers from private practitioners on this forum. I haven't had much mentorship in this area and am entering private practice much earlier than I had planned, so I feel a little out of the loop on preparing. I have a solid office leasing option, but that's about all I have secured at this point.
1. What software would you recommend for scheduling/charting/billing and what is the monthly...
Private Practice Questions! (Source: Student Doctor Network)
Source: Student Doctor Network - April 13, 2017 Category: Universities & Medical Training Authors: foreverbull Source Type: forums
