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Re: Coding & more From: Rafael Haciski MD (haciski@earthlink.net) Tue Jan 4 01:20:14 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: art fougner, md: "Re: Coding & more" Previous message: DoctorJoe@aol.com: "Re: OB: Consanguinity" Next in thread: art fougner, md: "Re: Coding & more" Reply: art fougner, md: "Re: Coding & more" Reply: garrys@mindspring.com: "Re: Coding & more**and more" Obviously you have not come across payors (as in Blue Cross/Blue Shield) who disregard modifiers, where modifiers kick the claim out, and whose computers are programmed to ignore or downright reject such modified claims. Rather that getting the 30% more, you do not even get the paltry usual amount. -- Rafael Haciski, MD FACOG Gynecology & Infertility Assoc. Baltimore MD (410) 825-0020 WEB PAGE ---- http://www.ivf-md.com E-mail -------Haciski@ivf-md.com ---------- >From: Joanne Bulley <jbulley@cheshire.net> >To: Multiple recipients of list OB-GYN-L <ob-gyn-l@talk.obgyn.net> >Subject: Coding & more >Date: Thu, Dec 30, 1999, 17:37 > > Wow!! > > I have had a crazy December and finally caught up with the List! Great stuff > going on! > > Coding - when using the modifier -22 INCLUDE the op note AND increase your > asking fee by 30-100% - pending how much harder the case was as documented. > If you put -22 and don't up the fee, you will get the same payment. This is > what I was told to do at the McVey coding seminar and it worked. Don't wait > till they ask for the records - put them with the original bill, with your > office manager finding out who at the ins co needs to review it so it is sent > straight to that person's attention. > > As far as the prolonged services - the information is in the CPT code book. > To quote someone else - don't be a dork - READ IT. > > Great discussion of the VBAC issue. I am now a private Gyn (one year), was in > a group practice of 3-5 OB-GYNs for the prior 13 years. This county in NH is > reimbursed at nearly the lowest of NH counties and NH is one of the lowesdt > reimbursed in the states (for Medicaid and medicare at any rate) - so the > issue of # of patients needed to care for vs basic overhead is VERY real. > Every patient rescheduled due to Doc in L&D takes up a space in which a > different patient could have been seen - so to close up shop for every VBAC or > whatever patient doesn't work.. Having left the practice I do not know how > they are dealing with this issue. When I left (Sept 98) they were pushing > HARD to have everyone VBAC. > Next message: art fougner, md: "Re: Coding & more" Previous message: DoctorJoe@aol.com: "Re: OB: Consanguinity" Next in thread: art fougner, md: "Re: Coding & more" Reply: art fougner, md: "Re: Coding & more" Reply: garrys@mindspring.com: "Re: Coding & more**and more"

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