Q: Can a hospital bill for a nutritionist and a dietitian deliver diabetes self-management training (DSMT) via telehealth on a UB claim? Nutritionists and dietitians are on the list of distant site practitioners, although registered nurses are not.
The Centers for Disease Control and Prevention (CDC) on March 31 published ICD-10-CM Official Coding and Reporting Guidelines for the novel coronavirus (COVID-19), effective April 1 through September 30.
Like other services covered by Medicare, observation must be reasonable and necessary or, in other words, medically necessary. The physician must document that they assessed patient risk to determine that the patient would benefit from observation services.
The American Medical Association (AMA) announced on March 26 new CPT coding and reporting guidance for physicians and medical practices, intended to simplify reporting of in-person and online visit services for novel coronavirus (COVID-19) patients.
Q: Our new EHR system was built using logic for therapy charging based on both the AMA and CMS eight-minute rules. Charges will generate differently based on the payer. How do others implement the eight-minute rules? How do you think using two charging methodologies in this world of price transparency will look?
CMS lifted some restrictions on telehealth coverage in a bid to keep non-critically ill patients out of clinics and hospitals in a bid to slow down the spread of the novel coronavirus (COVID-19), but other still apply to hospitals.
CMS released an update to its FAQ on coding and billing for the novel coronavirus (COVID-19) on March 23. The FAQ clarifies the use of HCPCS and CPT® codes for diagnostic laboratory services.
Providers in the U.S. will soon have a specific ICD-10-CM diagnosis code for the COVID-19 virus. During a March 18 meeting, The ICD-10 Coordination and Maintenance Committee announced that it would adopt the World Health Organization code, U07.1 (COVID-19), effective April 1.
