Submitting Revalidation via PECOS

During this webinar, we’ll provide an understanding of how to utilize the CMS Internet-based Provider Enrollment Chain & Ownership System (PECOS) to be comfortable in navigating the system to submit a provider enrollment electronic application.

Coverage Criteria and Frequency Limits

Coverage Criteria and Frequency Limits Table of Contents Counseling to Prevent Tobacco Use Diagnosis Coding Cost Sharing Reimbursement Nonparticipating Providers Related Content [Return to Top] Counseling to Prevent Tobacco Use [...]

Tobacco Cessation Telehealth Guide

Tobacco Cessation Telehealth Guide Tobacco use is the leading cause of preventable disease, disability, and death in the United States. Each year, nearly half a million Americans die prematurely of smoking or exposure to secondhand smoke. [...]

Tobacco Counseling Documentation

Tobacco Counseling Documentation Many healthcare providers perform tobacco use counseling, but they may not be documenting or reporting it appropriately. Providers must ensure all performed services are claimed and supported by complete [...]

Clinical Guidelines and Recommendations

Clinical Guidelines and Recommendations Treating Tobacco Use and Dependence All health care providers, especially those with direct patient contact, have a unique opportunity to help tobacco users quit. Smokers cite a doctor's advice to quit [...]

Rural Health Clinic

Rural Health Clinic Table of Contents Counseling to Prevent Tobacco Use Diagnosis Coding Billing RHC for Smoking and Tobacco Cessation Services Billing Multiple Visits on the Same Day Related Content [Return to Top] [...]

Tobacco and Health Effects

Tobacco and Health Effects Tobacco use is the leading cause of preventable disease, disability and death in the United States. Tobacco dependence is a chronic, relapsing disorder that, like other chronic diseases, often requires repeated [...]

Benefits of Quitting

Benefits of Quitting Table of Contents Benefits of Quitting Health Benefits of Quitting Smoking Economical Benefits of Quitting Smoking Related Content [Return to Top] Benefits of Quitting Quitting tobacco use in any form is one of [...]

Lung Cancer Screening Counseling and Annual Screening for Lung Cancer with Low-Dose Computed Tomography

Preventive Services Guide Lung Cancer Screening Counseling and Annual Screening for Lung Cancer with Low-Dose Computed Tomography Table of Contents Lung Cancer Screening Counseling and Annual Screening for Lung Cancer with Low-Dose [...]

Resources

Resources You Can Help Your Patients Quit Tobacco Use Smoking Cessation Tools and Resources Smokefree.gov BeTobaccoFree.gov Centers for Disease Control and Prevention: Tips from Former Smokers campaign Centers for Disease Control and [...]

Are the radiofrequency ablations allowed now until 3/20/2023, or are already noncovered?

Are there more studies going on to get sacroiliac joint radiofrequencies to be a covered benefit?

CPT code 27096 includes “Image guidance,” what’s the necessary required documentation? Does the physician still need permanently recorded images? Because the fluoroscopy/CT is bundled into the procedure and therefore the fluoroscopy/CT will not be separately reported, would the image guidance in the Radiology section regarding guidance procedures still apply?

Can CRNAs perform these procedures?

Can SIJ ligaments be included in a therapeutic injection?

Can sacroiliac joint injections be performed bilaterally?

Can the patient can have two diagnostic SIJI and then four therapeutic SIJI within a 12-month rolling period for a total of six per year?

Do hospitals bill a different CPT to receive compensation? Usually, the doctor’s office will bill 27096 on 1500 and we bill G0260 for facility claim (UB-04). Will PA need to have both CPTs? 27096 on Medicare fee schedule receives no compensation?

Do we use the KX modifier on facility charges for the ASC?

Do we use the same billing guideline for 64550 and 20551?