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?

Does anti-inflammatory steroid as named in the diagnostic injection mean an injected NSAID or corticosteroid?

Don't use G0260 only applies to POS 49? So, regardless of facility type, G0260 no longer needs to be used? And Is G0260 still fine to bill for an ASC or will they now just have 27096 for facility & should be billed with POS 24 and bill G0260 for our SIJI on the facility side?

For patients who are already receiving treatment do they need to repeat diagnostic procedures under the new policy?

How can provider access post injection pain after the injection?

How do we report unilateral vs. bilateral injections?

How many injections per calendar year?

If SIJ is injected on right and then determined to inject the left side in another session does that count as bilateral?

If a SIJI is performed and a biological agent is added to the injected will the injection still be covered?

If a patient fails an initial diagnostic or therapeutic injection is there a certain criteria that must be fulfilled prior to considering it again, such as duration since the last injection (like over a year ago) or change in symptom character or location?

If using steroid during diagnostic is that when the 12-month clock start?

It does not make sense to use steroids during a diagnostic injection. Please explain.

Many patients have degeneration throughout the spine does that justify need for multiple procedures in same session?

There is a contrast shortage. Use may not be an option.

We are in a group of eight physicians. What if the patient saw a different physician in clinic and a different physician is doing injection. Is that okay?

We receive referrals for an injection with detailed chart notes, does our provider need to see and examine the patient again?

What is the expected duration of steroid effect for diagnostic injection?

What is the purpose of a diagnostic injection, to select patients for fusion surgery only? Also, with diagnostic injections using anesthetic and steroid, what is the duration of effect expected for the steroid?

Take Advantage of Tobacco Counseling When Performing Medicare Wellness Visits 

Take Advantage of Tobacco Counseling When Performing Medicare Wellness Visits Medicare providers can optimize revenue and improve patient outcomes with Medicare's Annual Wellness Visits. These visits help identify gaps in healthcare, increase [...]

PR-204

Avoiding/Correcting This Error Medicare Fee-for-Service does not cover the service that has been billed for the condition. The CPT/HCPCS on the claim is not a covered Medicare service/equipment or drug. There are multiple reasons for denial [...]

CO-119

Avoiding/Correcting This Error The beneficiary has reached their therapy cap limit for the year. The Bipartisan Budget Act of 2018 repealed application of the Medicare outpatient therapy caps but retains the former cap amounts as a threshold [...]

Federally Qualified Health Center

Federally Qualified Health Center Table of Contents Counseling to Prevent Tobacco Use Diagnosis Coding Billing FQHC for Smoking and Tobacco Cessation Services Related Content [Return to Top] Counseling to Prevent Tobacco [...]

What is the requirements for diagnostic injections? Are two required?

What is the time period between a therapeutic injection and repeat diagnostic, if the therapeutic injection has not been performed for an extended period? At this point, does diagnostic need to be repeated?