tci Part B Insider - 2008 Issue 28

Reader Question: Only Report What Shows on the Encounter Superbill

Billers shouldn't be adding services to your claims without your permissionQuestion: Our office uses an outside biller. In reviewing some of the EOBs, I've found instances when the biller is adding services that the physician hasn't marked on the superbills. For example, a patient came in for a follow-up appointment (99213) and she received an injection of Toradol (J1885). The biller added 90772 to the claim as well. Is it OK for her to do this?Answer: Stick to the adage "If it's not in the documentation, you cannot bill it." When billing, you should never add codes...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 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

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

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