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diag codes
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Re: diag codes
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Jennifer4316
Re: diag codes
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Aug 30 02 11:20 AM
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My Recent Posts
This doc is clearly not above-board. There is no way each patient that comes into his office needs a 98941(some patients only need 98940, some 98942, some 98943)- and if he is manufacturing dx codes in order to uphold his treatment, that is wrong also. One major red flag to insurance companies is a doc that provides the SAME treatment to every patient. That's not to say that many patients can be receiving a 98941- just not all patients the same treatment.
Another thing that makes me uneasy is that you said you had to talk him out of billing an office visit with each manipulation. Even if you use a 25 modifier to get the office visits paid (and it's possible) it's still improper unless he's doing a re-eval for the current problem, a new problem has occurred or patient is being released from care.
As far as dx codes to document- you can add dx codes in box 19 of the hcfa. Most ins co do not require this as long as the diagnoses are noted in the documentation. We've never used more than the four codes on the hcfa form; the main dx are reported on the hcfa and the other related dx are included in the patient's chart, per drs notes.
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Association News
Medical Billing & Coding Education from the MAB
Continuing Education
Management Advice and Training
Questions Asked More Than Once
Help Wanted - Billing and Coding
Non Billing Talk
The Venting Area (Clean posts please)
Medical Coding and Billing News
Fraud and Abuse
Health Insurance - Provider Contracting
ERISA
Tricare
Workers' Compensation
General Medical Billing Questions
Appeals
Accounts Receivables (A/R)
Refunds
Auto Accident Issues
Medisoft Technical Support
Medical Software Technical Support Questions Other than Medisoft. No Investigation Questions!
General Medical Coding Forum
CPT Coding Questions
HCPCS Coding Questions
ICD-9-CM Coding Questions
Evaluation & Management Coding Questions
Acupuncture Billing and Coding
Ambulance Coding and Billing
Cardiology Coding and Billing
Chiropractic Coding and Billing
Dental Billing and Coding
DME Coding and Billing
Emergency Department Coding and Billing
Family Practice Coding and Billing
Hospital Inpatient and Outpatient Coding
Hospital Billing, Appeals and Collections
Internal Medicine Coding and Billing
Laboratory Coding and Billing
Ophthalmology Coding and Billing
OB-GYN Coding and Billing
Pain Management Coding and Billing
Pediatric Coding and Billing
Podiatry Coding and Billing
Physical Therapy Coding and Billing
Psychiatry Coding and Billing
Radiology Coding and Billing
Surgery Coding and Billing
Neurology Coding and Billing
Urgent Care Coding and Billing
Provider Compliance
Billing Center Compliance
HIPAA
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diag codes
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