Part B Insider - 2000 Issue 5
Reader Question: Using 99358 and 99359
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Article Overview
This article addresses a coding question about prolonged physician services without direct face-to-face contact in the context of patients awaiting transfer and being monitored. It explains the general coverage and billing treatment discussed for Medicare versus other payers, the setting in which the services may be reported, and the documentation and medical necessity considerations raised in the response. The piece is useful for coders, billers, and compliance staff who need a high-level understanding of when this type of service is discussed and what supporting information is emphasized.
Why This Topic Matters
It helps readers determine whether the article is relevant to billing and documentation questions involving prolonged non-face-to-face physician services and transfer-related monitoring.
Article Sections
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Question
The reader asks about billing concerns for monitoring patients who are awaiting transfer and whether prolonged service reporting may apply across different time periods.
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Answer
The response discusses general coverage differences by payer type, the settings where the service is discussed, and the need for documentation and medical necessity support.
What You Will Learn
- The general topic of prolonged physician services without face-to-face contact
- How the article distinguishes payer treatment at a high level
- What kinds of documentation considerations are emphasized
- Why monitoring intensity and medical necessity are relevant to the discussion
Who Should Read This
- Medical coders
- Billing staff
- Compliance staff
- Revenue cycle professionals
- Physician practice managers
Codes Discussed
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