Comments for Medical Practice Management Services http://www.mpms.info/MPMS/blog Celebrating 10 years of servicing the Health Care community Tue, 15 Mar 2011 15:25:25 +0000 hourly 1 http://wordpress.org/?v=3.3.1 Comment on BACK BY POPULAR DEMAND by sbecker http://www.mpms.info/MPMS/blog/?p=242&cpage=1#comment-58 sbecker Tue, 15 Mar 2011 15:25:25 +0000 http://www.mpms.info/MPMS/blog/?p=242#comment-58 Great Idea. Things to discuss - importance of EOBs and Coordination of Benefits from patients Great Idea. Things to discuss – importance of EOBs and Coordination of Benefits from patients

]]> Comment on PT/OT EVALUATIONS by admin http://www.mpms.info/MPMS/blog/?p=225&cpage=1#comment-56 admin Mon, 07 Feb 2011 14:22:39 +0000 http://www.mpms.info/MPMS/blog/?p=225#comment-56 Just as a clarification -- this applies to the evaluation done by Occuapational and Physical Therapists, and does not apply to Evaluation and Management Codes performed by other types of providers. Just as a clarification — this applies to the evaluation done by Occuapational and Physical Therapists, and does not apply to Evaluation and Management Codes performed by other types of providers.

]]> Comment on Subscribe by admin http://www.mpms.info/MPMS/blog/?page_id=109&cpage=1#comment-50 admin Wed, 15 Sep 2010 20:44:20 +0000 http://www.mpms.info/MPMS/blog/?page_id=109#comment-50 Dr Westwood This is a very good point, and I am glad you brought it up. First, sales people dont always give correct billing and coding information, that is just not their expertise. And, they are ther trying to sell a product and are going to take no action if you have negative consequences. Procedure code 97035 requires constant one-on-one attendance with the provider and the patient. It is not meant for any type of unattended service. If you have any questions regarding the use of a billing code, please do not hesitate to contact any member of the MPMS team. Dr Westwood
This is a very good point, and I am glad you brought it up.

First, sales people dont always give correct billing and coding information, that is just not their expertise. And, they are ther trying to sell a product and are going to take no action if you have negative consequences.

Procedure code 97035 requires constant one-on-one attendance with the provider and the patient. It is not meant for any type of unattended service.

If you have any questions regarding the use of a billing code, please do not hesitate to contact any member of the MPMS team.

]]> Comment on Subscribe by rwestwood http://www.mpms.info/MPMS/blog/?page_id=109&cpage=1#comment-49 rwestwood Wed, 15 Sep 2010 19:34:55 +0000 http://www.mpms.info/MPMS/blog/?page_id=109#comment-49 I was recently approached by a salesperson for a hands free ultrasound unit. He was indicating the unit would provide good time management. However upon further investigation I found 97035 code is inappropriate (contrary to what the sales rep told me) The following is what I found with major insurance carriers Hands-Free Ultrasound: "hands-free" ultrasound is considered experimental and investigational. Hands-Free Ultrasound is different than traditional ultrasound in that it doesn’t require constant attendance (direct one-on-one patient contact by the provider) to deliver the service. For this reason, you cannot bill 97035 (a constant attendance modality) for hands-free ultrasound – because constant attendance is not required. The most appropriate CPT code for this service would be 97039 (unlisted modality). Keep this in mind if you plan on purchasing a hands-free device, or currently use one, as the savings in personnel overhead, may be negated by the fact many payers don’t reimburse unlisted codes such as 97039 I was recently approached by a salesperson for a hands free ultrasound unit. He was indicating the unit would provide good time management. However upon further investigation I found 97035 code is inappropriate (contrary to what the sales rep told me)
The following is what I found with major insurance carriers

Hands-Free Ultrasound:
“hands-free” ultrasound is considered experimental and investigational.

Hands-Free Ultrasound is different than traditional ultrasound in that it doesn’t require constant attendance (direct one-on-one patient contact by the provider) to deliver the service. For this reason, you cannot bill 97035 (a constant attendance modality) for hands-free ultrasound – because constant attendance is not required. The most appropriate CPT code for this service would be 97039 (unlisted modality).

Keep this in mind if you plan on purchasing a hands-free device, or currently use one, as the savings in personnel overhead, may be negated by the fact many payers don’t reimburse unlisted codes such as 97039

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