2 If a patient has bunions on both feet repaired during the same operation, why must you use modifier 50?
As per the CPT index, Modifier 50 is generally used to report the bilateral procedures the same physician performs in the same operative session in one or separate operative areas like legs, hands, and ears. Like here, both feet are repaired during the same operation; hence you can use modifier 50.
5. Explain why a physical status modifier must be used with anesthesia codes.
2. For the average patient, which would be the preferred health insurance plan, indemnity or managed care? Why?
3. Why can't the provider simply code office visits by time spent with the patient?
4. While on a skiing vacation, you break your leg and are treated by a local provider. Upon your return home, your PCP removes the cast. Explain why or why not to use bundled code.
8. Why would the medical billing specialist need to use HCPCS codes for patients other than those covered by Medicare?
2. Why is it important for WHO to standardize codes to be used worldwide?
The director of coding and billing forwarded this memo to you, the medical insurance specialist, to help you plan for an internal audit.Good Afternoon to All,OIG today posts this report. As always, selecting the link immediately following the titles will take you directly to the full documentsUse of Modifier 25 (OEI-07-03-00470) www.oig.hhs.gov/oei/reports/oei-07-03-00470.pdfOIG conducted this study to assess the extent to which use of modifier 25 meets program requirements. Modifier 25 is used to allow additional payment for evaluation and management...
1. Should medical insurance policies restrict certain excluded services? Why or why not?
1. Should the gender rule be used to determine primary insurance for dependent children? Why or why not?
4. The code numbers are listed in the Alphabetic Index. Why not code directly from it?