|
|
|
 |
|
| Click on the |
 |
that follows each |
 |
to reveal your answer! |
|
|
|
10) A patient comes in for a vitamin B-12 vaccine. Nothing else is done for the patient. Can you bill a nurse visit at 99211? |
|
|
|
11) Lets say a patient comes to the office for a PT/INR, which you do inhouse. This is a Medicare patient. The nurse determines the INR to be 3.7 and the target is 2-3. She notifies the Physician, who adjusts the coumadin dosage, but never sees the patient. How would you code? |
|
|
|
Chief Complaint: Abdominal pain for 3 days
HPI: 28 year old female with diffuse abdominal pain, which she describes as cramping, associated with diarrhea, progressively worsening over the last 24 hours. She denies BRBPR or melena. It is now more localized in LLQ and not relieved with tylenol or imodium. She has no associated fever or N/V. She has no appetite.
ROS: General: tired, no appetite
CVS: No chest pain
Resp: Denies SOB
GI: See HPI
GU: Denies dysuria, urgency, frequency
GYN: LMP 2 weeks ago, G0/P0, denies vaginal discharge
SH: Single, 1 partner
Works in food service
FH: Mother with Chrohn's
PMH: appendectomy age 8
frequent sinus infections
Exam: BP 120/60, pulse 100, resp 16, supine
BP 98/50, pulse 120, resp 22, standing
Appears tired, pale
HEENT: moist mucous membranes, throat normal
neck supple, no lymphadenopathy, thyroid normal size.
Heart: Nl s1, s2 No mrg
Lungs: Clear to auscultation
Abd: slightly distended, normal bowel sounds. TTP LLQ with
rebound
Rectal: Heme positive stool
Medical Decision Making:
LLQ Abdominal pain with peritoneal signs and guiac positive stool. Consult with Dr. Smith (General Surgeon), who will meet Pt. in ER. Pt. sent by ambulance to ER, due to PT's degree of pain and orthostasis. IV NS started in office.
What level of service would you assign this established patient and is the billing affected if the patient is admitted to surgical service? What if the patient is admitted to medicine and you are the admitting Doc?
|
|
|
|
You hire a PA/NP for your office. You will rely on them to help with your Nursing Home practice. What do you need to teach them about Nursing Home billing in order to make them efficient and cost effective? |
|
|
Email
Us Your Coding Questions:
We are willing to answer your coding and reimbursement questions and post them for others to view and learn from. Please allow 48 hours for a response. We will answer your questions and provide you with sources of information. This is a free service.
If you have a more immediate question, feel free to call us at 508-866-3028.
|
|
|
|
