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How Compliant Is Your Coding and Billing?
Excerpt: Checklist to evaluate your practice's coding and billing resources, procedures, and education
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News and Events
5/3/2012
May Issue Live
Critical Care Guidelines Clarification
The December 2011 AAP Pediatric Coding Newsletter™ article, “The Dilemma: Split/Shared Neonatal and Pediatric Critical Care Services,” describes the direct supervision and reporting guidelines for the neonatal and pediatric critical care codes (99468–99475). The article includes information taken directly from the Centers for Medicare & Medicaid Services stating that critical care services, which do not distinguish between per diem or time-based codes, should not be considered split or shared services and that the documentation from the reporting physician (or nurse practitioner in some states) “shall reflect the evaluation, treatment and management of a patient by an individual physician or qualified non-physician practitioner and shall not
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In This Issue
Conjugates and Adjuvants, or
Component of Vaccines?
In January 2012, Current Procedural Terminology (CPT®) added an explanatory
statement to the "Immunization Administration for Vaccines/Toxoids" section
guidelines to clarify that conjugates and adjuvants are not considered a component
of a vaccine when reporting immunization administration codes 90460
and 90461. In addition, descriptors for codes 90460 and 90461 were changed
to clarify that code 90460 is reported when the first or only component of each
vaccine or toxoid is administered.
A Burning Question
Reporting for treatment of burns from heat and sun
Handling More Than One Specimen?
How to report code 99000 when handling multiple specimens
Modifier PD: Do You Need to Report It?
3-day payment windo for hospitals and practices that are wholly owned or operated by a hospital
Point to Ponder: Be Aware of Payer Coverage Criteria
MCD and LCD coverage information and other criteria for denials
Place of Service
Place of Service errors in reporting and importance for payment systems
Q&A
Hearing screening, Turner syndrome, ED referral and consultation, and spirometry
How Compliant Is Your Coding and Billing?
Checklist to evaluate your practice's coding and billing resources, procedures, and education
Transitioning to 10 (Online Exclusive)
CMS resources to assist physicians, including the ICD-10 Implementation Guides and the Small and Medium Practice Implementation Timeline Table
AAP Pediatric Coding Newsletter™, May 2012 Quiz (Online Exclusive)
Quiz for AAPC Continuing Education Units
Note: Given the relative frequency with which code and valuation revisions occur, some AAP Pediatric Coding Newsletter™ Online archived articles may not reflect the most current information available. While we make every effort to update articles or retire those no longer relevant, the volume and frequency of code and valuation revisions may result in some archived material being temporarily out of date.
Because the American Academy of Pediatrics (AAP) is not able to verify the accuracy of the facts relating to a patient encounter, we cannot be held responsible for any coding decisions that you make based on the guidance you receive from the AAP. It is your responsibility to only code for what you do during a patient encounter.
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