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  • Palmetto GBA Now A B MAC for Jurisdiction M - AAPC
    “Palmetto GBA works continuously to improve the administration of the Medicare program by offering innovative solutions to complex problems,” Palmetto GBA President and Chief Operating Officer Joe Johnson said “We look forward to continuing to serve the beneficiaries and health care providers of Jurisdiction M ”
  • Wiki Palmetto GBA New LCD for Outpatient Psychotherapy - AAPC
    Hi Joann :) These 2 LCD polices point to only licensed psychiatrist, LPC and LCSW to do specific using of Eval MG(99201-99215) and behavior health ( CPT 90832-90847 etc) according to disease and linked by profession MD DO NP AP can use any CPT code, but beh CPT codes for Psychiatrist (use
  • Does Your PAs Modifier 25 Use Make the Grade? : Benchmarking - AAPC
    Another factor Palmetto GBA unearthed in its research concerns global days, and how these distinct periods affect appending modifier 25 Distinguishing between minor and major procedures can be tricky, but checking the global surgery packages will help you avoid modifier 25 problems Minor service
  • Wiki Palmetto GBA- NC area Sleep Studies Modifier 52 - AAPC
    Is there another diagnostic code that can be used for billing Palmetto GBA Medicare (in North Carolina) that an be use for Sleep Study codes 95810, 95811, etc when less than 6 hours? From what I am reading on ABNs it seems we can issue one if we place the reason as Patient elects to terminate session less than 6 hours
  • palmetto gba | Medical Billing and Coding Forum - AAPC
    Palmetto GBA became our MAC at the beginning of the year With that comes their LCD L33445 Removal of Benign and Malignant Skin Lesions with (or in this case without) a different set of "covered" or "deemed medically necessary" ICD-10 codes
  • Cosign Requirements | Medical Billing and Coding Forum - AAPC
    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
  • Sharpen Your Medicare Signature Knowledge : Medicare Tips - AAPC
    “All signatures must be dated,” and all “handwritten signatures must be hand dated,” Medicare Administrative Contractor (MAC) Palmetto GBA notes in guidance on its website (www palmettogba com) Rule 2: Medicare has a specific definition for an acceptable handwritten signature
  • Wiki Time documentation for discharge - AAPC
    Here are 2 references: 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




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