tci Medicare Compliance & Reimbursement - 2007 Issue 39

REIMBURSEMENT: Don't Treat A Second-Hand Problem Like A New Development

Don't bill Medicare for routine pre-operative chest X-rayA problem may be new to your doctor, but that doesn't make it "new" for payment purposes, warns Part B carrier Palmetto GBA.A "new problem" is one that someone has identified but nobody has diagnosed, Palmetto says in a new Frequently Asked Questions (FAQ) answer on its Web site. A "new problem" may require an additional work-up to diagnose properly. But if a patient shows up in your office with a problem that someone else has already diagnosed, that's not a "new problem." You should score that visit the same...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.