Urology Coding and Reimbursement Podcast
The Urology Coding and Reimbursement Podcast is for Urologists and urology practice staff: Administrators, APPs, Billers and Coders. We help urologists and staff achieve peak economic and practice efficiency so there is time and energy to focus on patient care and a happy life. Your cohosts, Mark, Scott and Dr. Ray Painter discuss urology coding and share best practices for the urology office. We will answer submitted urology coding questions so that you can learn the concepts and apply in your practice. Learn the best practices: urology coding, revenue cycle management, scheduling, collections, patient information collection, pre-authorization, prior approval, charge capture, office communications, claim entry review, appeals, audits and billing, that we have tested and proven so you can adapt and incorporate.
Urology Coding and Reimbursement Podcast
UCR 132: Direct supervision / incident to, independent interpretation when own CT / US, billing creatinine if own equipment, and can MA or Tech sign PVR or EMG?
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Episode 132
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February 10, 2023
Mark, Ray, and Scott discuss questions and current topics.
- "Good afternoon,
Our practice has a lot of mid-level physicians. The question has arose about “direct' supervision and provider being immediately available. I provided the below-
How does Medicare define direct physician supervision?
Direct supervision: The physician or AP providing supervision must be “immediately available” and “interruptible” to provide assistance and direction throughout the performance of the procedure; however, he or she does not need to be present in the room when the procedure is performed.
One of the mid levels shared this: In the office but not immediately available. Remind physicians that they should not perform procedures while supervising incident-to visits. The supervising physician must be able to drop what they are doing right away, even if the physician is performing a relatively simple procedure such as a trigger point injections, that would break the requirement that the physician be ready if the non-physician practitioner needs help or guidance.
Now I am getting all kinds of questions.
The rule above is only pertaining to “incident to” situations correct? if the APP is listing a supervising provider for the day for insurance purposes only: such as the insurances that don't recognize /credential mid-levels (UHC for instance) would/should you follow the same rule as above? How are other practices handling this? - Hello *Independent Interpretation of test*
If we own the CT and US machines can our providers still get credit for interpreting films done in our office? We do bill these studies global once the radiologists does his reading. - Our office has purchased equipment to start doing creatinine tests (82565) on contrast CT patients in the office. Is this billable? And what codes would we bill? What are the documentation requirements?
- If I bill only for CPT 51798 and 51741. Can only the MA /technician being the signer or does it need to be MD as a billing provider.
Thank you!
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Dr. John Lin's interview with Dr. Sarabeth Martin
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