Compliance: Billing Prolonged Services? Keep a Close Eye On The Clock

Why This Topic Matters

The article is relevant to coders, billers, compliance staff, and providers who need to avoid claim denials and audit risk by understanding payer expectations around time documentation, diagnosis support, and medical necessity.

Article Sections

1. Prolonged Services Often Misbilled, NGS Notes

   Discusses payer education on documentation and timing issues related to prolonged evaluation and management services. The section also includes a brief clinical example illustrating the topic.

2. NGS Focuses on Chiropractic Errors

   Covers chiropractic claim documentation themes, including diagnosis ordering and medical necessity expectations discussed by Medicare contractors and policy references.

3. Keep an Eye on Medical Necessity for Labs

   Reviews common laboratory billing documentation issues and the importance of requisition forms and diagnosis support for ordered tests.