tci Part B Insider - 2012 Issue 9

Part B Revenue Booster: 5 Strategies Lead You to 99211 Success

Hint: Don't use level 1 visit for all vaccinations and allergy shots. Many physician coders are confused about when to use CPT code 99211, because they tend not to use 99211 when they should, or they'll use it incorrectly. Study these quick strategies to improve your reimbursements. Strategy 1: Don't limit 99211 use to nurse visits only. Fact: Physicians, nurse practitioners, and physician assistants can use 99211 as well as nurses. If a non-physician bills under the billing physician's name using 99211, you still have to make sure you follow the "incident-to" regulations. Ensure that your documentation actually supports...

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