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  • Posting Date: 10/26/2022
    Nonphysician Practitioner Services

    Nonphysician Practitioner Services In addition to the frequently asked questions below, please view NGS’ Nonphysician Practitioners-Reducing Costly Appeals; Increase Provider Revenue article for related information. Is it permissible for [...]

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  • Posting Date: 01/27/2022
    Observation Services

    Observation Services Please define guidelines for providers billing observation services. Answer: Observation services are ordered, performed and billed by the practitioner (or group), who is responsible for the patient’s care during the [...]

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  • Posting Date: 01/28/2022
    Preoperative Clearance

    Preoperative Clearance What requirements must be met for a preoperative clearance visit to be considered medically necessary and billable? Answer: CMS does not set requirements for medical clearance; these are established by individual [...]

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  • Posting Date: 04/01/2022
    Prolonged Services

    Prolonged Services Note: View NGS’ Prolonged Services Timetable for CPT codes and time requirements.  Please explain why time thresholds for some E/M services vary between AMA/CPT and CMS guidance. Answer: The CMS RVU RUC assessed [...]

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  • Posting Date: 01/28/2022
    Provider Specialty

    Provider Specialty Should each MD in the same practice bill with two different taxonomy codes based on whether functioning as a cardiologist or electrophysiologist? Answer: Yes, providers should be billing with their taxonomy codes. The [...]

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  • Posting Date: 12/18/2018
    Scribes

    Scribes When a physician or NPP performs a service that is documented by a scribe, what are the documentation requirements? Answer: As per CMS IOM Publication 100-08, Medicare Program Integrity Manual, Chapter 3, Section 3.3.2.4: “CMS [...]

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  • Posting Date: 08/29/2017
    Separately Identifiable Service

    Separately Identifiable Service Please define the appropriate use of modifier 57 to identify a separately payable E/M with an initial decision for surgery. Answer: Modifier 57 is added to an E/M service that resulted in an initial [...]

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  • Posting Date: 01/04/2023
    Skilled Nursing Facility Services

    Skilled Nursing Facility Services Please define rules for initial and subsequent SNF services, when the same provider has treated the patient at another site on the same date of service. Answer: This depends on the site of the prior [...]

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