decisionhealth Newsletters, Part B News - 2017 Issue 4 (April)
Stick to the same DOS when adding up non-face-to-face prolonged care
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Article Overview
This premium article covers Medicare’s alignment with CPT guidance for non-face-to-face prolonged service reporting and the timing rules that apply to prolonged service time. It is aimed at coding and billing professionals who need to understand how service dates, accumulated time, and add-on reporting guidance are addressed in official policy updates.
Why This Topic Matters
Accurate reporting of prolonged service time depends on following date-of-service and add-on code guidance. This article helps readers understand the scope of the rule updates and the organizations involved so they can assess whether the guidance applies to their billing workflow.
Article Sections
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Question
Introduces the billing scenario and the date-of-service question raised about non-face-to-face prolonged service time.
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Answer
Summarizes the overall guidance from Medicare and CPT regarding how prolonged service time is treated across dates of service.
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Separate-date billing and same-date accumulation
Discusses the relationship between the companion E/M service date and the prolonged service date, along with the treatment of time accumulated within a single day.
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CCI update note
Mentions a coding edit update affecting add-on reporting limits and the effective date referenced in the article.
What You Will Learn
- How the article frames Medicare and CPT guidance on prolonged service timing
- How date-of-service considerations affect non-face-to-face prolonged service reporting
- What general types of official policy updates are mentioned in connection with add-on reporting
- Which organizations and guidance sources are referenced in the article
Who Should Read This
- Medical coders
- Billing specialists
- Compliance staff
- Revenue cycle professionals
- Physician practice administrators
Codes Discussed
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