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Ask a Part B News Expert
05/01/2017
Question: Can a consulting psychiatrist and/or a psychologist bill HCPCS codes G0502, G0503 and G0504 for psychiatric collaborative care management (CoCM) services or is this for the patient’s primary care provider (PCP) only?
04/24/2017
Question: When using the newly covered non-face-to-face prolonged service codes (99358, 99359), can you bill them with time that has been accumulated over several dates of service? I’m asking because this seems very conceivable from a clinical perspective.
04/17/2017
Question: Has anyone seen any information regarding commercial payers and reimbursement for transitional care management (TCM) services? I thought I saw an article stating that these codes would now be reimbursed by commercial payers, but I am unable to confirm this information. Please help.
04/10/2017
Question: We’re getting denied on obesity counseling and can’t understand why. What could the reason be?
04/03/2017
Question: Can we get paid for 99444 (Online evaluation and management service provided by a physician or other qualified health care professional) or 99441-99442 (Telephone evaluation and management service by a physician or other qualified health care professional)?
03/20/2017

Question: I read about a doctor’s office that was destroyed in a fire, and it occurred to me that we don’t have a protocol for emergencies. What’s a good checklist?

03/13/2017
Question: If a patient is brought into the office for the physician or non-physician practitioner (NPP) to develop the chronic care management (CCM) care plan, am I eligible to bill initiating visit code G0506 as well as an E/M office visit code?
03/06/2017
We saw a patient who was recently in the emergency department (ED). The report states chest pain as the reason for visit/chief complaint. Can we use this as the chief complaint and location as an HPI element if the ED doctor does not restate it?
02/20/2017
Question: I have a patient who is on Medicare but was until recently also covered under his wife’s group health plan at work, which made Medicare his secondary payer. He tells me his wife recently retired. She has kept up the insurance for both of them, but our understanding (and the patient’s) is that in this case, the group plan should now be the secondary and Medicare the primary. Medicare doesn’t acknowledge it, though. What to do?
02/06/2017
Question: In the 2017 Medicare physician fee schedule, CMS specifically mentions that the newly billable G0505 (Cognition and functional assessment by the physician or other qualified health care professional in office or other outpatient) could be billed with chronic care management, transitional care management and other services. Under what circumstances would you legitimately bill CCM (99490) with G0505?

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