Coding

Medicare Requirements for Home Health Care

What are the signature requirements of Medicare for the medical record?

Top Compliance Issues Webinar Q&A with Michael Warshaw, DPM, CPC

Can you please explain the Medicare Appeals process?

Orthotics are supposed to be statutorily not covered by Medicare unless they are attached to a brace. I was told to just append the KX modifier to the codes that are being billed for orthotics and I will get paid. Is this true and is it right to do this? Can I get in trouble?

Does a patient have to be “Homebound” in order to provide foot care services in the patient’s home?

Is it appropriate to remove the core of a porokeratosis or a nucleated callus every month or two and bill it to the insurance company with CPT code 11305?

I need to understand what exactly is a nail biopsy and how is CPT code 11755 billed correctly?

Help! Can you please explain what is needed to determine the most appropriate E/M code to bill in the office based upon time?

APPEALING MEDICARE DECSIONS Once an initial claim determination is made participating physicians generally have the right to appeal. Physicians who do not take assignment have limited appeal rights. Beneficiaries my assign their appeal rights to Physicians who provide them with services or items.