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Palmetto gba would encourage the person rendering any part of the awv to document and sign their documentation but ultimately the billing provider (supervising the awv) must authenticate all the information in the record by signing the record. But the point of the. Lcd a59723 lcd l39853 is anyone else with palmetto gba in in the behavioral health field that is struggling with the list of covered diagnosis in the new lcd's a59723 and l39853
The cpts included in group 1 in a59723 include psychotherapy with and without em services, psychotherapy for crisis, family and group psychotherapy, interactive complexity, psychiatric diagnostic evaluations. It was once allowed to use hypersomnia as an allowed and now they no longer seem to be allowing symptoms as their only options are diagnosis The first is from faq on the novitas website
The second is from the palmetto gba website
Hospital discharge day management codes 99238 (30 minutes or less) and 99239 (more than 30 minutes) are time based so it is imperative that medical documentation reflect total time spent by a physician during the discharge of a patient. does time need to be documented in order to. My carrier, palmetto gba, has written a specific response in their faqs responding to examples of medications they consider to be high risk Examples of drugs categorized as high risk are most chemotherapy drugs and certain cardiac drugs with narrow therapeutic ranges such as amiodarone. Palmetto gba became our mac at the beginning of the year
What type of documentation is needed to support an assistant surgeon's claim Answer after additional reviews, palmetto gba has modified guidance regarding documentation requirements for assistants at surgery or surgical assistants (billed with hcpcs modifier as and cpt modifiers 80, 81 or 82). Our medicare palmetto gba has excluded j1010 for reimbursement (j1010 procedure status = e There are no rvus, payment policy indicators do not apply)
Could we substitute j1010 for procedure j3490 for reimbursement?
Palmetto gba recently updated their allowed dx codes for sleep studies The most effected one for us was for the mslt 95805 codes
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