Q: What revenue code should be attached to HCPCS codes M0239 (intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring) and M0243 (intravenous infusion, casirivimab and imdevimab includes infusion and post administration monitoring)? We set it up as revenue code 260 but are getting edits to change it to 771. What are your thoughts and suggestions?
Q: What CPT codes and modifiers would be used to report excisional debridement for removal of a 2x4-cm ulcer on a patient’s right buttocks with vacuum-assisted closure (VAC)?
Rusty is a member of a street gang in his city. He joined the gang five years ago when he was 17, and still believes it was the right decision. Now at age 22, the members are like his family.
This week's note from the instructor looks at the implications of a recent OIG brief on how Medicare Advantage organizations could use national provider identifiers (NPI) to monitor for fraud, waste, and abuse.
Q: If an individual provides authorization for a disclosure, can the individual later revoke the authorization? Is the covered entity (CE) then required to “take back” or demand the erasure of any documentation by third parties that may have been made following the original authorization?
Q: Case managers must know the difference between capacity and competence when working with patients of any age. How would you explain the difference between those two essential terms?
