This document summarizes changes to CPT codes for 2011, focusing on changes to evaluation and management codes, integumentary system codes, and new codes related to annual wellness visits and H1N1 immunizations. New codes were added for subsequent observation care and annual wellness visits. Codes for debridement were revised and codes for H1N1 immunization administration and pandemic vaccine were added.
Appropriate Level of Care and the 2-Midnight RuleBESLER
Understand the CMS background & regulatory requirements
Difference between the 2-Midnight presumption vs. benchmark
Physician certification requirements for inpatient hospital services
IPPS and OPPS 2015
Best Practices for financial and operational performance
Appropriate Level of Care and the 2– Midnight Rule Where It Stands as of NOWBESLER
This article from the December 2014 issue of the Lone Star Express, a publication of the Lone Star chapter of HFMA, reviews the current state of the 2-Midnight rule. It reviews key elements of the rule, the focus of Medicare documentation requirements, and best practices for compliance.
This document discusses health insurance. It defines health insurance as insurance against the risk of incurring medical expenses. It explains that health insurance covers in-patient hospitalization expenses exceeding 24 hours, as well as pre- and post-hospitalization expenses. It provides details on coverage such as room costs, doctor fees, surgery expenses, and day care treatments. The document also describes how claims can be filed via reimbursement or cashless modes at network or non-network hospitals. Finally, it lists some common types of health insurance plans available, such as individual, family, critical care, senior citizen, and group plans.
The document summarizes changes to CPT codes for 2014, focusing on new codes, deleted codes, and code revisions. Key changes included 107 new Category I codes, 40 deleted Category I codes, and 103 revised Category I codes. There were also changes to codes related to evaluation and management, integumentary procedures, musculoskeletal procedures, and cardiovascular procedures. Physicians are responsible for understanding coding changes and ensuring accurate billing.
This document provides information about coding tips for orthopaedic offices. It discusses reimbursement statistics for different orthopaedic procedures, insurance issues to consider, guidelines for evaluation and management visits and other orthopaedic procedures. It also reviews modifiers like 24, 25, and 57 which are important for orthopaedic coding. The presenter has many years of experience in orthopaedic coding and compliance.
The document summarizes the hospital licensing process in the Philippines. It is a 3-phase process involving pre-inspection, inspection, and post-inspection stages. The pre-inspection phase involves coordinating with the hospital and informing them of the inspection. The inspection phase allows for interactive participation and review of documents. In the post-inspection phase, inspectors make a decision on licensing and submit a report. A license to operate is required to be accredited by PhilHealth. The document also outlines the classification system for hospitals and requirements for certificates of need, permits to construct, and one-stop shop licensing.
Ruli hospital map 12.253 presentation v11 1Wendy Leonard
The document provides an overview and assessment of data collection and usage processes at Ruli District Hospital in Rwanda. It finds that while the hospital has established a referral system with health centers, opportunities exist to improve data capture, analysis, and reporting. Key issues identified include inconsistent referral data collection, inefficient paper-based registration and reporting processes, and underutilization of available appointment and patient data. Recommendations propose transitioning to electronic logs, centralizing patient records, improving inter-departmental sharing, and modifying appointment setting and feedback processes to increase efficiency and analytical capabilities.
Appropriate Level of Care and the 2-Midnight RuleBESLER
Understand the CMS background & regulatory requirements
Difference between the 2-Midnight presumption vs. benchmark
Physician certification requirements for inpatient hospital services
IPPS and OPPS 2015
Best Practices for financial and operational performance
Appropriate Level of Care and the 2– Midnight Rule Where It Stands as of NOWBESLER
This article from the December 2014 issue of the Lone Star Express, a publication of the Lone Star chapter of HFMA, reviews the current state of the 2-Midnight rule. It reviews key elements of the rule, the focus of Medicare documentation requirements, and best practices for compliance.
This document discusses health insurance. It defines health insurance as insurance against the risk of incurring medical expenses. It explains that health insurance covers in-patient hospitalization expenses exceeding 24 hours, as well as pre- and post-hospitalization expenses. It provides details on coverage such as room costs, doctor fees, surgery expenses, and day care treatments. The document also describes how claims can be filed via reimbursement or cashless modes at network or non-network hospitals. Finally, it lists some common types of health insurance plans available, such as individual, family, critical care, senior citizen, and group plans.
The document summarizes changes to CPT codes for 2014, focusing on new codes, deleted codes, and code revisions. Key changes included 107 new Category I codes, 40 deleted Category I codes, and 103 revised Category I codes. There were also changes to codes related to evaluation and management, integumentary procedures, musculoskeletal procedures, and cardiovascular procedures. Physicians are responsible for understanding coding changes and ensuring accurate billing.
This document provides information about coding tips for orthopaedic offices. It discusses reimbursement statistics for different orthopaedic procedures, insurance issues to consider, guidelines for evaluation and management visits and other orthopaedic procedures. It also reviews modifiers like 24, 25, and 57 which are important for orthopaedic coding. The presenter has many years of experience in orthopaedic coding and compliance.
The document summarizes the hospital licensing process in the Philippines. It is a 3-phase process involving pre-inspection, inspection, and post-inspection stages. The pre-inspection phase involves coordinating with the hospital and informing them of the inspection. The inspection phase allows for interactive participation and review of documents. In the post-inspection phase, inspectors make a decision on licensing and submit a report. A license to operate is required to be accredited by PhilHealth. The document also outlines the classification system for hospitals and requirements for certificates of need, permits to construct, and one-stop shop licensing.
Ruli hospital map 12.253 presentation v11 1Wendy Leonard
The document provides an overview and assessment of data collection and usage processes at Ruli District Hospital in Rwanda. It finds that while the hospital has established a referral system with health centers, opportunities exist to improve data capture, analysis, and reporting. Key issues identified include inconsistent referral data collection, inefficient paper-based registration and reporting processes, and underutilization of available appointment and patient data. Recommendations propose transitioning to electronic logs, centralizing patient records, improving inter-departmental sharing, and modifying appointment setting and feedback processes to increase efficiency and analytical capabilities.
This document discusses care plan oversight (CPO) billing for physicians supervising patients receiving home health or hospice care. It defines CPO and how it differs from certification/recertification. Requirements for CPO billing include the physician providing at least 30 minutes of supervision per month and documenting services. Eligible services, documentation methods, and claim filing procedures are outlined. The document encourages agencies to educate physicians on CPO to increase referrals and profits.
The document outlines the hospital licensing process in the Philippines which has 3 phases: pre-inspection, inspection, and post-inspection. It details the requirements, documents, and activities involved in each phase. The goal is to orient stakeholders on the rules for hospital licensing and clarify any issues. Key parts of the process include applying for a Certificate of Need, Permit to Construct, One-Stop Shop licensing, and maintaining standards to obtain a License to Operate. Non-compliance can result in warnings, fines, and license suspension or revocation.
- The document discusses trauma centers and their role in providing care to seriously injured patients. It defines trauma centers and describes their classification levels from I to V, with Level I centers providing the highest level of surgical specialties and care.
- The roles and requirements of Levels I-V trauma centers are outlined, including necessary coverage of specialists, transfer agreements, and quality assessment programs. Level I centers provide leadership and research.
- Two levels of pediatric trauma centers (P-I and P-II) are also defined, with Level P-I centers requiring at least two pediatric surgeons and other pediatric specialists.
- The document then discusses components and resources needed for trauma centers in Indonesia, including minimum hospital
This document summarizes the key sections and features of the MEDI PREMIER health insurance policy. It discusses two main coverage sections: Section I provides regular hospitalization benefits, while Section II provides a lump sum payment for major illnesses like cancer, stroke, and renal failure. Eligible ages are 26-75 years. The policy covers hospital expenses, pre/post-hospitalization costs, and daycare treatments. It has minimum and maximum sum insured limits and provides cashless claims processing at network hospitals. Common exclusions include pre-existing diseases and some procedures in the first few policy years.
Hospital management system is a computer system that helps manage the information related to health care and aids in the job completion of health care providers effectively.
Hospital Management System brings together all the information and processes of a hospital, in a single platform.
It presents you with a unified 360-degree view for managing patients, doctors, inventory, appointments, billing information, finances and much more.
The system automatically generates a highly-efficient process and makes it quick. Thereby, allowing hospitals to provide quality service in addition to professional medical care.
In a nutshell, Hospital Management System (HMS) creates a frictionless approach towards managing the entire hospital and solves all complexities in the process
The document outlines the employee benefits provided by Groupon Sdn Bhd, including group hospitalization and surgical insurance through Allianz Life Insurance Malaysia Berhad. The insurance covers medical costs for hospital confinement, outpatient treatments, and provides a schedule of benefits up to an overall annual limit of RM20,000 with exclusions such as pre-existing conditions, cosmetic procedures, and overseas treatment exceeding 90 days.
This document provides an overview and summary of medicine codes in CPT. It discusses several categories of medicine codes including evaluations and management, modifiers, immunizations, psychiatry, end-stage renal disease, cardiology, pulmonary, and more. Codes are organized by specialty and service type, with notes on proper use and billing.
There are some basic laws which are to be followed by every profession. Most of the Ayurveda professional are not aware about these legal points. These includes- Conduct& Etiquette, ethics, advertisements, manufacturing of medicine for own patients, clinical registration act 2012, insurance and ayurveda, Bio-medical waste etc.
Health Insurance Brochure-The Universal Insurance Company Ltd.Muhammad Sameer
This document provides information about a group medical insurance program offered by Universal Insurance House to organizations. It covers three types of health plans - Basic, Standard, and Premier - that provide varying levels of coverage for hospitalization costs, outpatient care, maternity care, specialized investigations, and treatment for dread diseases. It also outlines who is eligible for coverage, what medical costs are covered, and the claims process for using the insurance at panel hospitals.
This document lists 164 hospital forms categorized into 25 categories. It includes forms for doctors, nurses, operating rooms, emergency rooms, consent, infection control, quality assurance, radiology, HR, maintenance and more. The forms cover documentation for patient assessments, orders, monitoring, handovers, discharge, equipment maintenance, HR processes and other administrative functions in a hospital.
This document discusses CMS' Condition of Participation regarding medical record services and the impact of the HITECH Act and meaningful use incentives. It outlines the rules requiring hospitals to maintain complete and organized medical records for each patient. It then summarizes the HITECH Act provisions providing Medicare and Medicaid incentives for hospitals that meaningfully adopt health IT by certain deadlines. Hospitals must meet criteria around electronic ordering, clinical decision support, information exchange and quality reporting to qualify for incentives or face penalties. The document explains how these new policies will drive hospitals to transition to electronic medical records.
The document discusses Medicare's "Two Midnight Rule" for determining whether a hospital stay qualifies as an inpatient admission under Part A or observation status. It states that an inpatient admission is appropriate if the physician expects the patient will require hospital care spanning two or more midnights. The medical record must support this expectation of a medically necessary stay of at least two midnights. If the stay is less than two midnights due to unforeseen circumstances, this must be documented.
The document discusses the planning and organization of a medical records department in a hospital. It begins by defining medical records and outlining their purposes for patients, doctors, hospitals, and research. It then describes how to plan and organize the department, including establishing sections for admissions, central records, and outpatient records. Staffing requirements are provided for a 500-bed hospital. Physical facility needs are also outlined. The document concludes by explaining the process of medical record flow upon patient admission.
Core measures are evidence-based practices established by healthcare organizations to improve outcomes for conditions like myocardial infarction (MI). MI occurs when plaque builds up in arteries and restricts blood flow to the heart. Left untreated, it can cause permanent heart damage or death. Hospitals are accountable for following core measures, like administering aspirin upon arrival, to provide structured, guideline-driven care proven to increase survival and recovery rates. Nurses play a key role by quickly recognizing MI symptoms, starting interventions, and closely monitoring patients through treatment and recovery. Overall, core measures benefit both patients and facilities by standardizing high-quality care focused on the best outcomes.
The document discusses evaluation and management (E/M) coding guidelines. It covers the key components of E/M codes which are history, examination, and medical decision making. E/M codes are used to bill for office visits, hospital visits, consultations, and other services. Assignment of the codes depends on factors like new vs. established patient, type of service, place of service, patient age, and time spent. History, examination, and medical decision making are the three main components used to determine the level of E/M service provided.
The document discusses minimum standards for Ayurvedic clinics, dispensaries, and therapy centers according to the Clinical Establishments Act of 2010 in India. It outlines requirements for space, staffing, equipment, and facilities. Clinics must have a doctor and support staff. Dispensaries require pharmacy services in addition. Therapy centers need more space and equipment for treatments. Record keeping, licensing, and financial transparency are also mandated. Standard templates are provided for registration, examination, medical certificates and more.
The document provides information on consolidated billing for skilled nursing facilities, including what items and services the SNF is responsible for paying under Medicare Part A, exclusions, and provider responsibilities. It discusses challenges with Part A and Part B billing and offers strategies for reducing claim errors through a triple check process. The document also addresses augmenting patient files during admissions, managing accounts receivable, and maintaining accurate aging reports.
A medical record, health record, or medical chart is a systematic documentation of a patient\'s individual medical history and care. The term \'Medical record\' is used both for the physical folder for each individual patient and for the body of information which comprises the total of each patient\'s health history. Medical records are intensely personal documents and there are many ethical and legal issues surrounding them such as the degree of third-party access and appropriate storage and disposal. Although medical records are traditionally compiled and stored by health care providers, personal health records maintained by individual patients have become more popular in recent years.
The document describes the features and modules of a Hospital Management System (HMS). The HMS aims to simplify workflows, reduce costs and errors, and improve patient experience by digitizing processes. It integrates various departments including appointments, medical records, billing, staff management, laboratories, radiology, pharmacy, and more. Key modules include patient registration, clinical management, billing, laboratory management, radiology management, and pharmacy management. The system automates manual tasks, improves efficiency, and provides secure access to patient information for better management and care.
This document discusses regulatory compliance for anesthesia providers practicing in ambulatory surgical settings outside of hospitals. It notes that while the patient population is generally healthier and procedures less complex in these settings, regulatory requirements can still be complex and vary significantly between states. The document provides numerous examples of differences in state regulations regarding issues like reporting adverse events, accreditation requirements, and definitions of "office-based" settings. It also analyzes patient demographic and procedural data from the National Anesthesia Clinical Outcomes Registry to identify patterns relevant to state compliance requirements. The document emphasizes the importance for anesthesia providers to understand regulations in any states where they are providing care outside of hospitals.
This document provides information about cardiovascular health and cardiac medications. It discusses never chewing or crushing time-released medications, only taking medications prescribed for you, reporting side effects to your doctor, and safely storing and disposing of medications. It also summarizes different classes of cardiac medications like beta blockers, calcium channel blockers, and nitrates, and emphasizes the importance of speaking to your doctor if you have any questions about your medications.
This short document promotes creating presentations using Haiku Deck on SlideShare. It encourages the reader to get started making their own Haiku Deck presentation by providing a button to click to begin the process. In a single sentence, it pitches presentation creation using Haiku Deck on SlideShare.
This document discusses care plan oversight (CPO) billing for physicians supervising patients receiving home health or hospice care. It defines CPO and how it differs from certification/recertification. Requirements for CPO billing include the physician providing at least 30 minutes of supervision per month and documenting services. Eligible services, documentation methods, and claim filing procedures are outlined. The document encourages agencies to educate physicians on CPO to increase referrals and profits.
The document outlines the hospital licensing process in the Philippines which has 3 phases: pre-inspection, inspection, and post-inspection. It details the requirements, documents, and activities involved in each phase. The goal is to orient stakeholders on the rules for hospital licensing and clarify any issues. Key parts of the process include applying for a Certificate of Need, Permit to Construct, One-Stop Shop licensing, and maintaining standards to obtain a License to Operate. Non-compliance can result in warnings, fines, and license suspension or revocation.
- The document discusses trauma centers and their role in providing care to seriously injured patients. It defines trauma centers and describes their classification levels from I to V, with Level I centers providing the highest level of surgical specialties and care.
- The roles and requirements of Levels I-V trauma centers are outlined, including necessary coverage of specialists, transfer agreements, and quality assessment programs. Level I centers provide leadership and research.
- Two levels of pediatric trauma centers (P-I and P-II) are also defined, with Level P-I centers requiring at least two pediatric surgeons and other pediatric specialists.
- The document then discusses components and resources needed for trauma centers in Indonesia, including minimum hospital
This document summarizes the key sections and features of the MEDI PREMIER health insurance policy. It discusses two main coverage sections: Section I provides regular hospitalization benefits, while Section II provides a lump sum payment for major illnesses like cancer, stroke, and renal failure. Eligible ages are 26-75 years. The policy covers hospital expenses, pre/post-hospitalization costs, and daycare treatments. It has minimum and maximum sum insured limits and provides cashless claims processing at network hospitals. Common exclusions include pre-existing diseases and some procedures in the first few policy years.
Hospital management system is a computer system that helps manage the information related to health care and aids in the job completion of health care providers effectively.
Hospital Management System brings together all the information and processes of a hospital, in a single platform.
It presents you with a unified 360-degree view for managing patients, doctors, inventory, appointments, billing information, finances and much more.
The system automatically generates a highly-efficient process and makes it quick. Thereby, allowing hospitals to provide quality service in addition to professional medical care.
In a nutshell, Hospital Management System (HMS) creates a frictionless approach towards managing the entire hospital and solves all complexities in the process
The document outlines the employee benefits provided by Groupon Sdn Bhd, including group hospitalization and surgical insurance through Allianz Life Insurance Malaysia Berhad. The insurance covers medical costs for hospital confinement, outpatient treatments, and provides a schedule of benefits up to an overall annual limit of RM20,000 with exclusions such as pre-existing conditions, cosmetic procedures, and overseas treatment exceeding 90 days.
This document provides an overview and summary of medicine codes in CPT. It discusses several categories of medicine codes including evaluations and management, modifiers, immunizations, psychiatry, end-stage renal disease, cardiology, pulmonary, and more. Codes are organized by specialty and service type, with notes on proper use and billing.
There are some basic laws which are to be followed by every profession. Most of the Ayurveda professional are not aware about these legal points. These includes- Conduct& Etiquette, ethics, advertisements, manufacturing of medicine for own patients, clinical registration act 2012, insurance and ayurveda, Bio-medical waste etc.
Health Insurance Brochure-The Universal Insurance Company Ltd.Muhammad Sameer
This document provides information about a group medical insurance program offered by Universal Insurance House to organizations. It covers three types of health plans - Basic, Standard, and Premier - that provide varying levels of coverage for hospitalization costs, outpatient care, maternity care, specialized investigations, and treatment for dread diseases. It also outlines who is eligible for coverage, what medical costs are covered, and the claims process for using the insurance at panel hospitals.
This document lists 164 hospital forms categorized into 25 categories. It includes forms for doctors, nurses, operating rooms, emergency rooms, consent, infection control, quality assurance, radiology, HR, maintenance and more. The forms cover documentation for patient assessments, orders, monitoring, handovers, discharge, equipment maintenance, HR processes and other administrative functions in a hospital.
This document discusses CMS' Condition of Participation regarding medical record services and the impact of the HITECH Act and meaningful use incentives. It outlines the rules requiring hospitals to maintain complete and organized medical records for each patient. It then summarizes the HITECH Act provisions providing Medicare and Medicaid incentives for hospitals that meaningfully adopt health IT by certain deadlines. Hospitals must meet criteria around electronic ordering, clinical decision support, information exchange and quality reporting to qualify for incentives or face penalties. The document explains how these new policies will drive hospitals to transition to electronic medical records.
The document discusses Medicare's "Two Midnight Rule" for determining whether a hospital stay qualifies as an inpatient admission under Part A or observation status. It states that an inpatient admission is appropriate if the physician expects the patient will require hospital care spanning two or more midnights. The medical record must support this expectation of a medically necessary stay of at least two midnights. If the stay is less than two midnights due to unforeseen circumstances, this must be documented.
The document discusses the planning and organization of a medical records department in a hospital. It begins by defining medical records and outlining their purposes for patients, doctors, hospitals, and research. It then describes how to plan and organize the department, including establishing sections for admissions, central records, and outpatient records. Staffing requirements are provided for a 500-bed hospital. Physical facility needs are also outlined. The document concludes by explaining the process of medical record flow upon patient admission.
Core measures are evidence-based practices established by healthcare organizations to improve outcomes for conditions like myocardial infarction (MI). MI occurs when plaque builds up in arteries and restricts blood flow to the heart. Left untreated, it can cause permanent heart damage or death. Hospitals are accountable for following core measures, like administering aspirin upon arrival, to provide structured, guideline-driven care proven to increase survival and recovery rates. Nurses play a key role by quickly recognizing MI symptoms, starting interventions, and closely monitoring patients through treatment and recovery. Overall, core measures benefit both patients and facilities by standardizing high-quality care focused on the best outcomes.
The document discusses evaluation and management (E/M) coding guidelines. It covers the key components of E/M codes which are history, examination, and medical decision making. E/M codes are used to bill for office visits, hospital visits, consultations, and other services. Assignment of the codes depends on factors like new vs. established patient, type of service, place of service, patient age, and time spent. History, examination, and medical decision making are the three main components used to determine the level of E/M service provided.
The document discusses minimum standards for Ayurvedic clinics, dispensaries, and therapy centers according to the Clinical Establishments Act of 2010 in India. It outlines requirements for space, staffing, equipment, and facilities. Clinics must have a doctor and support staff. Dispensaries require pharmacy services in addition. Therapy centers need more space and equipment for treatments. Record keeping, licensing, and financial transparency are also mandated. Standard templates are provided for registration, examination, medical certificates and more.
The document provides information on consolidated billing for skilled nursing facilities, including what items and services the SNF is responsible for paying under Medicare Part A, exclusions, and provider responsibilities. It discusses challenges with Part A and Part B billing and offers strategies for reducing claim errors through a triple check process. The document also addresses augmenting patient files during admissions, managing accounts receivable, and maintaining accurate aging reports.
A medical record, health record, or medical chart is a systematic documentation of a patient\'s individual medical history and care. The term \'Medical record\' is used both for the physical folder for each individual patient and for the body of information which comprises the total of each patient\'s health history. Medical records are intensely personal documents and there are many ethical and legal issues surrounding them such as the degree of third-party access and appropriate storage and disposal. Although medical records are traditionally compiled and stored by health care providers, personal health records maintained by individual patients have become more popular in recent years.
The document describes the features and modules of a Hospital Management System (HMS). The HMS aims to simplify workflows, reduce costs and errors, and improve patient experience by digitizing processes. It integrates various departments including appointments, medical records, billing, staff management, laboratories, radiology, pharmacy, and more. Key modules include patient registration, clinical management, billing, laboratory management, radiology management, and pharmacy management. The system automates manual tasks, improves efficiency, and provides secure access to patient information for better management and care.
This document discusses regulatory compliance for anesthesia providers practicing in ambulatory surgical settings outside of hospitals. It notes that while the patient population is generally healthier and procedures less complex in these settings, regulatory requirements can still be complex and vary significantly between states. The document provides numerous examples of differences in state regulations regarding issues like reporting adverse events, accreditation requirements, and definitions of "office-based" settings. It also analyzes patient demographic and procedural data from the National Anesthesia Clinical Outcomes Registry to identify patterns relevant to state compliance requirements. The document emphasizes the importance for anesthesia providers to understand regulations in any states where they are providing care outside of hospitals.
This document provides information about cardiovascular health and cardiac medications. It discusses never chewing or crushing time-released medications, only taking medications prescribed for you, reporting side effects to your doctor, and safely storing and disposing of medications. It also summarizes different classes of cardiac medications like beta blockers, calcium channel blockers, and nitrates, and emphasizes the importance of speaking to your doctor if you have any questions about your medications.
This short document promotes creating presentations using Haiku Deck on SlideShare. It encourages the reader to get started making their own Haiku Deck presentation by providing a button to click to begin the process. In a single sentence, it pitches presentation creation using Haiku Deck on SlideShare.
Este documento presenta la información sobre un seminario-taller de 16 horas sobre el conocimiento y aplicación de la normativa legal en materia de Seguridad y Salud Ocupacional. El seminario está dirigido a miembros de comités paritarios de SSO, representantes de trabajadores y empleadores, médicos, jefes de SSO e integrantes de áreas de talento humano. El seminario cubrirá temas como seguridad industrial, higiene, salud ocupacional, indicadores e informes de SSO y programas de consumo de alcohol y drogas
Este documento describe una práctica docente sobre artes gráficas. La práctica pretende enseñar a los estudiantes diferentes técnicas de artes gráficas como el grabado, la pintura y el diseño gráfico, e invitarlos a crear trabajos utilizando diversos materiales. La práctica también enseñará nociones básicas de perspectiva visual, dibujo y teoría del color, y explicará cómo combinar diferentes técnicas para crear afiches, t-shirts, murales y otras ilustraciones.
Las teorías implícitas son representaciones y procesos adquiridos de forma inconsciente a través de la experiencia, que guían la práctica docente. Estas teorías suelen caracterizarse por un enfoque realista del conocimiento y una visión dualista entre conocimiento y realidad. Entre los docentes en formación, predominan las concepciones constructivistas sobre el aprendizaje. Promover un cambio hacia enfoques más constructivistas puede mejorar la transmisión de conocimientos a los estudiantes.
This document contains the rules and questions for a trivia quiz game involving 7 rounds with 10 questions each across various categories such as food, history, geography, music, arts and literature, entertainment. The rules specify team size, no outside help, the quizmaster's decisions are final, how scoring and answering other teams' questions will work, and what to do in the event of a tie. It also provides the questions and answer choices for each category of the quiz.
The Kwakiutl people lived in coastal villages in northwest Canada, where they had access to abundant natural resources like salmon, cedar trees, berries, and game. They built large wooden houses and canoes from cedar and wore waterproof clothing made of cedar bark. The Kwakiutl used totem poles both to tell family stories and give as gifts during potlatch ceremonies. They relied heavily on fishing and would burn oily "candlefish" to light their homes.
"Using Data Science to Design Effective Precision Preventative Behavioral Med...Hyper Wellbeing
"Using Data Science to Design Effective Precision Preventative Behavioral Medicine" - Ryan Quan (Data Scientist, Omada Health)
Delivered at the inaugural Hyper Wellbeing Summit, 14th November 2016, Mountain View, California.
For more information including details of subsequent events, please visit http://hyperwellbeing.com
The summit was created to foster a community around an emerging industry - Wellness as a Service (WaaS). Consumer technologies, in particular wearables and mobile, are powering a consumer revolution. A revolution to turn health and wellness into platform delivered services. A revolution enabling consumer data-driven disease risk reduction. A revolution extending health care past sick care towards consumer-led lifelong health, wellness and lifestyle optimization.
WaaS newsletter sign-up http://eepurl.com/b71fdr
@hyperwellbeing
Evaluation part 3 what kind of media institutionjames Covill
Our media product would be best distributed by Metro-Goldwyn-Mayer Pictures, Columbia Pictures, Eon Productions, or Universal Pictures. These companies have experience distributing films similar to our spy/action genre product, such as various James Bond and Bourne franchise films that served as inspiration. They are also large, globally recognized, and well-established distribution companies that could ensure our film reaches a wide audience.
The document discusses several classes of drugs used to treat cardiovascular conditions. It describes the mechanisms of calcium channel blockers, diuretics, vasodilators, cardiac glycosides, alpha blockers, beta blockers, ACE inhibitors, and ARBs. Calcium channel blockers work by blocking calcium entry into cells to decrease contraction. Diuretics reduce fluid volume to decrease preload and workload on the heart. ACE inhibitors block angiotensin conversion to lower blood pressure.
This document summarizes various classes of cardiovascular drugs used to treat conditions like hypertension, angina, heart failure, and arrhythmias. It describes the mechanisms and clinical uses of different classes of antihypertensive drugs like diuretics, sympatholytics, vasodilators, calcium channel blockers, ACE inhibitors, and ARBs. It also covers drugs used for hypertensive emergencies like sodium nitroprusside, diazoxide, and labetalol.
This document summarizes various cardiovascular drugs used to treat conditions like hypertension, angina, myocardial infarction, shock, and congestive heart failure. It discusses classes of drugs like beta-blockers, ACE inhibitors, calcium channel blockers, vasodilators, and cardiac glycosides. For each drug class, it describes the mechanisms of action, common drugs, clinical uses, contraindications, side effects, and nursing considerations for administration and patient education.
Navigating the CMS Physician Proposed Rule 2024: What You Need to KnowConference Panel
The CMS Physician Proposed Rule for 2024 is a pivotal development in healthcare. It outlines potential changes in reimbursement rates, telehealth expansion, and quality reporting requirements. Physicians must stay informed and engage in the comment period to influence the final rule. This rule can shape the future of healthcare delivery, impacting both providers and patients. Stay tuned for updates as we navigate these changes together for a healthier tomorrow.
This year there are significant changes to EM services and prolonged services that will require a complete change in the way services are coded outside of the office setting as well as new times for determining prolonged services for Medicare patients.
Annually CMS publishes its proposed rule for physician practices outlining new policies, codes, coding guidelines, and fee schedules This rule is a must for physician offices to read and be aware of all the changes within the CMS system.
Register,
https://conferencepanel.com/conference/cms-physician-proposed-rule-2024
Understanding the Impact of the CMS Physician Final Rule on Patient CareConference Panel
Join us for an informative webinar on the CMS Physician Final Rule 2023, which will provide insights on the latest updates to physician payment and coding guidelines for the upcoming year. It is crucial for healthcare providers and staff to be aware of the key changes proposed by CMS and understand which items will be implemented in 2023.
For all healthcare providers and offices that bill Medicare or Medicaid, staying up-to-date with CMS yearly changes is essential. This webinar will delve into the details of the CMS Physician Final Rule for 2023, outlining all the changes that providers and staff need to know.
Don't miss this opportunity to gain critical insights into the CMS Physician Final Rule 2023 and ensure that your practice is prepared for the upcoming changes. Join us for a comprehensive overview of the new guidelines and their implications for physician offices.
Register,
https://conferencepanel.com/conference/cms-physician-final-rule-2023
Evaluation and Management EM of the CPT Codes (PDF)Jawwad Imran
The document outlines upcoming changes to Evaluation and Management (E/M) codes in the American Medical Association's (AMA) CPT code set effective January 1, 2023. Key changes include the elimination and modification of various E/M codes for hospital inpatient care, consultations, emergency department visits, nursing facility visits, home visits, and prolonged services. Guidelines for selecting E/M codes are also revised, clarifying definitions of new vs. established patients, rules for different care settings, and components of E/M services and medical decision making.
The document provides a summary of information from various coding and reimbursement conferences and resources. It discusses changes to CPT and ICD-9 codes for 2011 related to topics like E/M documentation, vaccine administration, physical therapy caps, and cardiac catheterization codes. It also addresses questions around coding issues including monitoring studies, endoscopy procedures, and hip arthroscopy.
The document provides information on changes to the MDS (Minimum Data Set) for October 2019, including changes made to several sections and items. Chapter 2 was extensively revised and individual changes were not tracked. Cognition assessment is now required for all PPS assessments. For the Interim Payment Assessment, Section GG covers the last 3 days. The HIPPS code under PDPM includes classification codes for each component and an assessment indicator. Section K no longer includes mechanically altered diets, and respite care was removed from Section O.
CPT E/M codes are changing January 1, 2021. This webinar unpacks those changes for you, outlining everything you need to know including:
How to navigate all the changes
What these mean for reimbursement
What you need to know to make sure your providers and coders are ready.
This document provides guidance on conducting audits to assess appropriate use of venous thromboembolism (VTE) prophylaxis in hospitals. It describes snap-shot and detailed audits, resources needed, steps to conduct audits, and how to report and disseminate results to drive quality improvement. The goal is to help close any gaps between evidence-based guidelines and actual clinical practice of VTE prophylaxis prescription and use.
CPT coding for pain management is really a hectic task and outsourcing it to a reliable medical coding company helps you earn more while focusing on your core processes
Mid Cheshire Hospitals NHS FT- Acute medical unit to take out medications pro...RuthEvansPEN
The document describes a project to reduce delays in patients receiving discharge medications (TTOs) upon leaving the hospital. A project team measured baseline wait times, which averaged 90 minutes. They established a TTO printer on the acute medical unit to allow TTOs to be dispensed directly on the ward. After implementing the printer, wait times decreased significantly to an average of 15 minutes. The initiative improved patient flow and reduced complaints about delayed TTOs.
Mid Cheshire Hospitals NHS FT- Acute medical unit to take out medications pro...RuthEvansPEN
This document outlines a project to reduce delays in patients receiving discharge medications (TTOs) upon leaving the hospital. Baseline data found TTOs took on average 90 minutes to process. A project group established a TTO printer on the ward which allowed medications to be dispensed and labeled at the bedside, bypassing the pharmacy. Post-implementation data found the average processing time dropped significantly to 15 minutes. The number of patient complaints regarding medication delays also decreased. The project was considered a success and plans were made to expand the model to other wards.
Mid Cheshire Hospitals NHS FT- Acute medical unit to take out medications pro...RuthEvansPEN
This document outlines a project to reduce delays in patients receiving discharge medications (TTOs) upon leaving the hospital. Baseline data found TTOs took on average 90 minutes to process. A project group established a TTO printer on the ward which allowed medications to be dispensed and labeled at the bedside, bypassing the pharmacy. Post-implementation data found the average processing time dropped significantly to 15 minutes. The number of patient complaints regarding medication delays also decreased. The project was considered a success and plans were made to expand the model to other units.
Compliance and Implementation Strategies for CMS Physician Final Rule 2023Conference Panel
Each summer, CMS (Centers for Medicare & Medicaid Services) releases its proposed physician payment and coding change guidelines for the upcoming year. After gathering feedback from the physician community, CMS published the final rule on November 1, 2022, which either confirmed or modified issues from the initial proposal. The provider comments have the potential to influence CMS to deviate from its original guidelines. It is of utmost importance for healthcare providers and their staff to be aware of the specific items that will be implemented in 2023 and those that CMS has decided not to move forward with. The aspects of the proposed rule that were not implemented for 2023 may signal issues that are still under consideration for 2024. Notably, this year brings significant changes to Evaluation and Management (EM) services, as well as prolonged services, necessitating a complete overhaul in coding practices outside of the office setting. Additionally, there are new criteria for determining prolonged services for Medicare patients. Being well-informed about these updates will be crucial for providers to navigate the evolving landscape of Medicare reimbursement and ensure optimal patient care.
Register,
https://conferencepanel.com/conference/cms-physician-final-rule-2023
Renaldo P. DeFrank, Jr. presented at the ATI Physical Therapy seminar on September 23, 2015, discussing Opioids and the impact on Michigan workers' compensation claims.
This document outlines standards for accreditation of dental institutions, hospitals, and centers established by the National Accreditation Board for Hospitals and Healthcare Providers in India. It includes 10 chapters covering patient-centered standards and organization-centered standards. The patient-centered standards address topics like access to care, assessment and continuity of care, patient rights and education, and infection control. The organization-centered standards cover areas such as continuous quality improvement, facility management and safety, human resource management, and information management. The document emphasizes that complying with the standards will help ensure dental facilities provide safe, high-quality, and patient-friendly care. It also notes that ongoing efforts are required to fully implement the standards.
TMLT risk management staff conduct on-site practice reviews to help physicians determine and address their medical liability risks. In 2016, risk managers reviewed more than 2,000 physician practices, and gave the following 10 recommendations most frequently.
This document provides an overview of medical audit, including:
- Definitions of medical audit and clinical audit
- The history and evolution of audit from the 1850s to modern clinical audit practices
- The need for and benefits of medical audit
- The six stages of the audit process: preparing, selecting criteria, measuring performance, making improvements, sustaining improvements, and re-audit
- Types of clinical audits such as statistical, disease-specific, death, and infection control audits
- Key aspects of implementing a successful audit such as identifying criteria and standards, collecting and analyzing data, and identifying and addressing barriers to change.
Two of the New York metro area’s largest provider organizations will share their experiences leveraging HIE as one of many tools to decrease fragmentation of care and improve patients’ experiences across acute and post-acute care settings for patients undergoing elective surgeries. Representatives from NYULMC and VNSNY will summarize their efforts to redesign more personalized specific care pathways and the central role played by the implementation of real-time data exchange to provide a seamless transfer of clinical data between providers caring for the patient at the time of discharge and throughout the post-acute period.
• Kathleen Mullaly - Senior Director for Clinical Operations, Department of Network Integration, NYU Langone Medical Center
• Amy Weiss - Director for Strategic Account Development, Integrated Delivery Systems, Visiting Nurse Service of New York (VNSNY)
New York eHealth Collaborative Digital Health Conference
November 18, 2014
2024 Medicare Physician Fee Schedule (MPFS) Final Rule UpdatesHealth Catalyst
According to the Centers for Medicare & Medicaid Services (CMS), the calendar year (CY) 2024 MPFS final rule was created to advance health equity and improve access to affordable healthcare. This webinar will cover the major policy updates of the MPFS final rule including updates to the telehealth services policy and remote monitoring services and enrollment of MFTs and MHCs as Medicare providers. The conversation will also cover policy changes on split (or shared) evaluation and management (E/M) visits, and the Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging.
Guidelines to Initiate Telemedicine SoftwareMarcus Evans
telemedicine is the conveyance of clinical administrations through broadcast communications. Telemedicine is a reasonable, helpful route for clinical patients to see their doctors. Time is spared, costs are diminished, commitment is sustained and neither patients nor suppliers pass up eye to eye communications since webcams empower patients and suppliers to see each other continuously.
https://prognocis.com/ehr-integrated-telehealth-application/
This document outlines a proposal to implement a rapid response team (RRT) at an urban Magnet hospital to improve patient outcomes on medical and surgical units. The purpose is to determine if an RRT can reduce hospital stays, decrease transfers to higher levels of care, and increase patient functionality at discharge. The proposal describes the background on RRTs, significance to nursing practice, literature review on clinical outcomes, relevant nursing theories, and the Iowa Model framework. It provides details on the methodology, team development and training, communication systems, education, documentation, and implementation process including activation protocols and safety huddles. The goal is to activate the RRT for at-risk patients showing signs of respiratory distress, changes in mental status, abnormal
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kol...rightmanforbloodline
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Versio
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
TEST BANK For An Introduction to Brain and Behavior, 7th Edition by Bryan Kolb, Ian Q. Whishaw, Verified Chapters 1 - 16, Complete Newest Version
Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
Promoting Wellbeing - Applied Social Psychology - Psychology SuperNotesPsychoTech Services
A proprietary approach developed by bringing together the best of learning theories from Psychology, design principles from the world of visualization, and pedagogical methods from over a decade of training experience, that enables you to: Learn better, faster!
Histololgy of Female Reproductive System.pptxAyeshaZaid1
Dive into an in-depth exploration of the histological structure of female reproductive system with this comprehensive lecture. Presented by Dr. Ayesha Irfan, Assistant Professor of Anatomy, this presentation covers the Gross anatomy and functional histology of the female reproductive organs. Ideal for students, educators, and anyone interested in medical science, this lecture provides clear explanations, detailed diagrams, and valuable insights into female reproductive system. Enhance your knowledge and understanding of this essential aspect of human biology.
Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
The UK is currently facing a Adhd Medication Shortage Uk, which has left many patients and their families grappling with uncertainty and frustration. ADHD, or Attention Deficit Hyperactivity Disorder, is a chronic condition that requires consistent medication to manage effectively. This shortage has highlighted the critical role these medications play in the daily lives of those affected by ADHD. Contact : +1 (747) 209 – 3649 E-mail : sales@trinexpharmacy.com
1. Copyright 2010 | Advanced Billing Consultants, Inc.
2011 CPT CHANGES
By Advanced Billing Consultants, Inc.
2. Copyright 2010 | Advanced Billing Consultants, Inc.
Table of Contents
• Evaluation and Management
• Integumentary System
• Gastroenterology
• Genitourinary
• Ophthalmology
• Pathology
• Otorhinolaryngology
• Cardiology
3. Copyright 2010 | Advanced Billing Consultants, Inc.
EVALUATION AND
MANAGEMENT
4. Copyright 2010 | Advanced Billing Consultants, Inc.
Evaluation and Management Changes
Subsequent Observation Care
• Problem with Initial Observation Care Only
• Confusing reporting the 2nd day when held over to three (3)
calendar days.
• Office and Other Outpatient E/M in a “hospital” setting
• Administration of Insurance Benefits (office visit copays)
• Solution
• Create codes that match subsequent hospital care for observation
setting.
5. Copyright 2010 | Advanced Billing Consultants, Inc.
Subsequent Observation Care Codes
• 99224- Subsequent observation care, per day, for the
evaluation and management of a patient, which
requires at least 2 of these3 key components:
• Problem focused interval history
• Problem focused examination
• Medical decision making that is straightforward or of low complexity
• Counseling and/or coordination of care…….
• Usually, the patient is stable, recovering, or improving. Physicians
typically spend 15 minutes at the bedside and on the patient’s
hospital floor or unit.
• Work RVU=0.54
6. Copyright 2010 | Advanced Billing Consultants, Inc.
Subsequent Observation Care Codes
• 99225- Subsequent observation care, per day, for the
evaluation and management of a patient, which
requires at least 2 of these 3 key components:
• An expanded problem focused interval history
• An expanded problem focused examination
• Medical decision making of high complexity
• Counseling and/or coordination of care……..
• Usually, the patient is responding inadequately to therapy or has
developed a minor complication. Physicians typically spend 25
minutes at the bedside and on the patient’s hospital floor or unit.
7. Copyright 2010 | Advanced Billing Consultants, Inc.
Subsequent Observation Care Codes
• 99226- Subsequent observation care, per day, for the
evaluation and management of a patient, which
requires at least 2 of these 3 key components:
• A detailed interval history
• A detailed examination
• Medical decision making of high complexity
• Counseling and/or coordination of care…..
• Usually, the patient is unstable or has developed a significant
complication or a significant new problem. Physicians typically
spend 35 minutes at the bedside and on the patient’s hospital floor
or unit.
8. Copyright 2010 | Advanced Billing Consultants, Inc.
Subsequent Observation and Hospital
Observation Key Components Inpatient Key Components
(2/3) Time (2/3) Time
99224 PF/PF/SF-L 99231 PF/PF/SF-L
15 15
99225 EPF/EPF/M 99232 EPF/EPF/M
25 25
99226 D/D/H 99233 D/D/H
35 35
9. Copyright 2010 | Advanced Billing Consultants, Inc.
New! CMS-Annual Visit (AWV)
Sect. 4103 of AcA- allows coverage & payment for an
annual wellness visit after 01/01/2011 for an individual who
is more then 12 months out from the effective date of
his/hers 1st Medicare Part B coverage period, and hasn’t
received either an IPPE or an annual wellness visit within
the past 12 months.
• G0438- Annual Wellness Visit, Personalized Prevention Plan, first
visit, 2.43 work RVU’s, 2.14 non-facility PE RVU’s
• G0439- AW, PPP, subsequent visit, 1.50 work RVU’s, 1.59 non-
facility PE RVU’s
Use- 25 Modifier if a separately identifiable E/M service is
provided on the same day. AWV is paid under the PFS, not
OPPS.
10. Copyright 2010 | Advanced Billing Consultants, Inc.
New! CMS-Annual Wellness Visit (AWV)
The visit includes a health risk assessment (HRA) and creates a
personalized prevention plan (PPP). A PPP includes:
1-established or update an individual medical and family history
2-list of current providers and suppliers and medications prescribed for
the individual
3-measurement of height, weight, BMI or waist circumference, BP
4-detection of any cognitive impairment, establish or update an
appropriate screening schedule for the next 5-10 years
5-voluntary advance care planning
6-establish or update list of risk factors and condition (including mental
health condition)
7-furnishing of personalized health advice and referral as
appropriate, to health education or prevention counseling services or
programs
• CMS will add depression screening and functional status
screening as elements of the 1st annual wellness visit only.
11. Copyright 2010 | Advanced Billing Consultants, Inc.
New! CMS-Annual Wellness Visit (AWV)
• This benefit is not subject to the “incident to” rules.
• This visit may be performed by a “team of medical
professionals working under the supervision of a
physician” it is the supervising physician who would bill
Medicare for the visit.
• This visit would be furnished under “direct supervision” of
a physician
12. Copyright 2010 | Advanced Billing Consultants, Inc.
Immunization Administration for
Vaccines/Toxoids
Codes 90465, 90466, 90467, 90468 deleted and replaced
with new immunization administration codes 90460 and
90461 for patients 18 years of age and under who receive
counseling.
• 90460- immunization administration through 18 years of
age via any route of administration, with counseling by
physician or other qualified health care professional; first
vaccine/toxoid component. Work RVU= 0.15
• 90461- each additional vaccine/toxoid component (List
separately in addition to code for primary procedure)
Work RVU= 0.15
13. Copyright 2010 | Advanced Billing Consultants, Inc.
90460 and 90461 (counseling) vs. 90472-90474
(without counseling or over 18
• Use 90460 for each vaccine administrated
• For vaccines with multiple components (combination
vaccines), report 90460 in conjunction with 90461 for
each additional component in a given vaccine.
• Rationale:
Each component requires specific counseling and we did not
want to have disincentives to the use of combination vaccines.
The work of counseling issue does not apply to 90471-90474:
they remain per vaccine and by route of administration.
14. Copyright 2010 | Advanced Billing Consultants, Inc.
2009 H1N1 Flu Pandemic
H1N1 Pandemic Vaccine and Administration Codes 90663
and 90670 posted to the AMA website in July of 2009
• 90663- Influenza virus vaccine, pandemic formulation, H1N1
• 90470- H1N1 immunization administration
(intramuscular, intranasal), including counseling when performed.
15. Copyright 2010 | Advanced Billing Consultants, Inc.
1 New Vaccine Product Code Added
• 90644- Meningococcal conjugate vaccine, serogroups C
& Y Hemophilus influenza B vaccine, tetanus tocoid
conjugate (Hib-MenCY-TT), 4 dose schedule, when
administrated to children 2-15 months of age, for
intramuscular use.
16. Copyright 2010 | Advanced Billing Consultants, Inc.
INTEGUMENTARY
SYSTEM
17. Copyright 2010 | Advanced Billing Consultants, Inc.
Changes in the Integumentary System
Debridement
• (11040, 11041 have been deleted)
• (For debridement of skin, i.e., epidermis and/or dermis only, see 97597, 97598)
o 11043-Debridement, skin, subcutaneous tissue, and
muscle and/or facia (includes epidermis, dermis and
subcutaneous tissue, if performed); first 20 sq. cm or
less.
• *11046-each additional 20 sq. cm, or part thereof (List
separately in addition to code for primary procedure)
• (Use 11046 in conjunction with 11043)
18. Copyright 2010 | Advanced Billing Consultants, Inc.
Debridement
• 11043 and 11044 identified as site-of-service anomaly and
11044 surveyed by non-dominant specialty.
• Entire family reviewed.
• 11040 and 11041 deleted; codes 97597 and 97598
revised.
19. Copyright 2010 | Advanced Billing Consultants, Inc.
Debridement
o 11044 Debridement, skin, subcutaneous
tissue, muscle, and bone (including
epidermis, dermis, subcutaneous tissue, muscle and/or
fascia, if performed); first 20 sq. cm or less.
• *11047 each additional 20 sq. cm, or part thereof (List
separately in addition to code for primary procedure)
• (Do not report 11042-11047 in conjunction with 97597-97602 for the same
wound)
• Use 11047 in conjunction with 11044
20. Copyright 2010 | Advanced Billing Consultants, Inc.
Active Wound Care Management
• Active would care procedures are preformed to remove
devitalized and/or necrotic tissue and promote healing.
Provider is required to have direct (one-on-one) patient
contact.
• (Don not report 97597-97602 in conjunction with 11042-117047 for the same
wound)
• (For debridement of burn wounds, see 16020-16030)
21. Copyright 2010 | Advanced Billing Consultants, Inc.
Active Wound Care Management Cont’d
• 97597- Debridement (e.g., high pressure waterjet with/without
suction, sharp selective debridement with scissors, scalpel and
forceps), open wound, (e.g., fibrin, devitalized epidermis and/or
dermis, exudate, debris, biofilm), Removal of devitalized tissue from
wound(s), selective debridement, without anesthesia (e.g., high
pressure waterjet with/without suction, sharp selective debridement
with scissors, scalpel and forceps), with or without including topical
application(s) for ongoing care, may include use of a whirlpool, per
session; total wound(s) surface area; less than or equal to first 20 sq.
cm or less.
22. Copyright 2010 | Advanced Billing Consultants, Inc.
Active Wound Care Management
o 97598- Total wound(s) surface area greater than
each additional 20 sq. cm, or part thereof (List separately
in addition to code for primary procedure)
• (Use 97598 in conjunction with 97597)
23. Copyright 2010 | Advanced Billing Consultants, Inc.
Active Wound Management
Rationale
• In support of the changes in the Debridement subsection, the Active
Wound Care Management codes 97597, 97598 were also revised to
reflect the spectrum of debridement at the surface levels while still
accounting for the area. Reference to anesthesia services were also
removed since services can be supplied regardless of anesthesia
services.
24. Copyright 2010 | Advanced Billing Consultants, Inc.
GASTROENTEROLOGY
25. Copyright 2010 | Advanced Billing Consultants, Inc.
Changes in Gastroenterology Surgical
System
Incomplete Colonoscopy: 2011 clarification
• For an incomplete colonoscopy, with full preparation for a
colonoscopy, use a colonoscopy code with the modifier 52 and
provide documentation.
• When performing an endoscopy on a patient who is scheduled and
prepared for a total colonoscopy, if the splenic flexure, due to
unforeseen circumstances, report the colonoscopy code with modifier
53 and appropriate documentation.
• Applies to all payers: Medicare and commercial.
26. Copyright 2010 | Advanced Billing Consultants, Inc.
GENITOURINARY
27. Copyright 2010 | Advanced Billing Consultants, Inc.
Changes to Genitourinary Surgical
System
Urinary System Changes 2011
• 53860- Transurethral radiofrequency micro-
remodeling of the female bladder neck and proximal
urethra for stress urinary incontinence.
Rationale
• Category III code 0193T, which described transurethral
radiofrequency micro-remodeling for stress urinary incontinence,
has been deleted and converted to..
• Category I status. Code 53860 has been established to report the
procedure without modifying the description of the procedure. An
instructional parenthetical note has been added in the Category III
section directing users to code 59860 to report the procedure.
28. Copyright 2010 | Advanced Billing Consultants, Inc.
OPHTHALMOLOGY
29. Copyright 2010 | Advanced Billing Consultants, Inc.
Changes to Ophthalmology Surgical
System
Ophthalmology New Code Categories
Glaucoma
• 2 new codes to represent canalopasty
• 66174- Transluminal dilation of aqueous outflow canal; without
retention of device or stent.
• 66175- with retention of device or stent
30. Copyright 2010 | Advanced Billing Consultants, Inc.
Iridotomy/Iridectomy
• 66761- Iridotomy/iridectomy by laser surgery (e.g.. For
glaucoma) (Per session)
31. Copyright 2010 | Advanced Billing Consultants, Inc.
Ophthalmology in Medicine Section
Diabetic Retinopathy imaging
• 92227- Remote imaging for detection of retinal disease
(e.g., retinopathy in a patient with diabetes) with analysis and report
under physician supervision, unilateral or bilateral
• (Do Not report 92227 in conjunction with 92002-92014, 92133, 92134, 92250, 92228
or with the evaluation and management of the single organ system, the eye 99201-
99350)
• 92228- Remote imaging for monitoring and management of active
retinal disease (e.g., diabetic retinopathy) with physician
review, interpretation and report unilateral and bilateral.
• (Do Not report 92228 in conjunction with 92002-92014, 92133, 92134, 92250, 92227
or with the evaluation and management of the single organ, the eye, 99201-99350)
34. Copyright 2010 | Advanced Billing Consultants, Inc.
OTORHINOLARYNGOL
OGY
35. Copyright 2010 | Advanced Billing Consultants, Inc.
Otorhinolaryngologic Changes in
Medicine Section
Medicine/Special Otorhinolaryngologic
Services/Audiologic Function Tests
Audiometry Codes Cross-reference
• 92551- Screening test, pure tone, air only
• 92557- Comprehensive audiometry threshold evaluation and speech
recognition (92553 and 92556 combined)
(For hearing aid evaluation and selection, see 92590-92595)
(For automated audiometry, see 0208T-0212T)
36. Copyright 2010 | Advanced Billing Consultants, Inc.
Medicine/Special Ortorhinolaryngologic
Services
Vestibular Function Tests, With Recording (e.g..
ENG)
• 92540- Basic vestibular evaluation….
• 92541- Spontaneous nystagmus test, including gaze and fixation
nystagmus, with recording.
• (Don Not report 92541 in conjunction with 92540 or the set of
92542, 92544, and 92545)
• 92542- Positional nystagmus test, minimum of 4 positions, with
recording.
• (Do Not report 92542 in conjunction with 92540 or the set of
92541, 92544, and 92545)
37. Copyright 2010 | Advanced Billing Consultants, Inc.
Medicine/Special Ortorhinolaryngologic
Services
• 92544 Optokinetic nystagmus test, bidirectional, foveal or
peripheral stimulation, with recording
• (Do Not report 92544 in conjunction with 92540 or the set of
92541, 92542, and 92545)
• 92454-Oscillating tracking test, with recording
• (Do Not report 92545 in conjunction with 92540 or the set of
92541, 92542, and 92544)
39. Copyright 2010 | Advanced Billing Consultants, Inc.
Changes in Cardiovascular Surgical
System
Primary Codes
PTA Stent Atherectomy Atherectomy
Stent
Iliac 37220 37221
Femoral 37224 37226 37225 37227
/Poplite
al
Tibial/ 37228 37230 37229 37231
Peronea Add on
l
PTA StentCodes Atherectomy Atherectomy Stent
Iliac 27222 27223
Tibial/ 37232 37234 37233 37235
Peroneal
40. Copyright 2010 | Advanced Billing Consultants, Inc.
Changes
• Surgery code (3XXXX) and radiology supervision and
interpretation code (7XXXX) are bundled
• Open & percutaneous therapies- same coding
• Catheterization codes
• Bundled for category I LE endovascular intervention.
• NOT bundled for Cat III supra-inguinal atherectomy.
• Any additional catheterization solely for diagnostic purposes is
NOT bundled.
• Initial diagnostic angiography is not included
41. Copyright 2010 | Advanced Billing Consultants, Inc.
Iliac
Therapy Base Code Add-on Code
PTA 37220 +37222
Atherectomy with or without PTA N/A N/A
Stent with or without PTA 37221 +37223
Stent & atherectomy with or without PTA N/A N/A
42. Copyright 2010 | Advanced Billing Consultants, Inc.
Femoropopliteal
Therapy Base Code Add-on Codes
PTA 37224 N/A
Atherectomy with or without PTA 37225 N/A
Stent with or without PTA 37226 N/A
Stent & atherectomy with or without 37227 N/A
PTA
43. Copyright 2010 | Advanced Billing Consultants, Inc.
Tibial/Peroneal
Therapy Base Code Add-on Codes
PTA 37228 +37232
Atherectomy with or without PTA 37229 +37233
Stent with or with out PTA 37230 +37234
Stent & atherectomy with or without 37231 +37235
PTA
44. Copyright 2010 | Advanced Billing Consultants, Inc.
Cardiology in Medicine Section
External Cardiovascular Device Monitoring Code Deletions
Cardiology
Telephonic transmission codes 93012 and 93014 have been
deleted. Telephonic transmission services are now reported with
coeds 93268-93272, which have been revised to include remote
download up to 30 days.
The cardiovascular monitoring services guidelines have been
revised and relocated to a new section titled Cardiovascular
Monitoring Services.
• (93012, 93014 have been deleted. To report telephonic transmission of post-
symptom electrocardiogram rhythm strips, see 93268-93272)
45. Copyright 2010 | Advanced Billing Consultants, Inc.
External Cardiovascular Device
Monitoring
Holter monitor code changes
• 93224 External Wearable electrocardiographic rhythm derived
monitoring for 24 hours recording up to 48 hours by continuous
original waveform rhythm recording and storage, with visual
superimposition scanning; includes recording, scanning
analysis with report, physician review and interpretation.
• 93225 recording (includes connection, recording and disconnection).
• 93226 scanning analysis with report
• 93227 (Do Not report 93224 in conjunction with
93225, 93226, 93227)
• (For less than 12 hours of continuous recording, use modifier 52)
46. Copyright 2010 | Advanced Billing Consultants, Inc.
External Cardiovascular Device
Monitoring
Mobile cardiovascular telemetry
• External wearable mobile cardiovascular telemetry with electrocardiographic
recording, concurrent computerized real time data analysis and greater than
24 hours of accessible ECG data storage (retrievable with query) with ECG
triggered and patient selected events transmitted to a remote attended
surveillance center for up to 30 days; physician review and interpretation with
report.
(report 93228 only once per 30 days)
• 93229 Technical support for connection and patient instructions for
use, attended surveillance, analysis and physician prescribed transmission of
daily and emergent data reports.
(report 93229 only once per 30 days)
• (Do Not report 93229 in conjunction with 93014 93224, 93227).
• (For External wearable cardiovascular monitors that do not perform automatic ECG
triggered transmissions to an attended surveillance center, see 92334-
93227, 93268-93272, 93230, 93272)
• (93230-93237 have been deleted. To report external electrocardiographic rhythm
derived monitoring for up to 48 hours, see 93224-93227)
47. Copyright 2010 | Advanced Billing Consultants, Inc.
Cardiac Catheterization
Deletion and retention of prior catheterization
codes
• 93505- Endomyocardial biopsy
• (93501, 93508-93529 have been deleted. To report see, 93451-
93461).
• 93530- Right heart catheterization, for congenital
cardiac anomalies.
Current codes for cardiac catheterization of congenital
heart patients (93530-93533) remain active.
48. Copyright 2010 | Advanced Billing Consultants, Inc.
New Cardiac Catheterization Codes
• 93451- Right heart catheterization including measurement(s) of
oxygen saturation and cardiac output, when performed.
• (Do not report 93451 in conjunction with 93453, 93456, 93457, 93460, 93461).
• 93452- Left heart catheterization including intraprocedural
injection(s) for left ventriculography, imaging supervision and
interpretation, when performed.
• (Do Not report 93452 in conjunction with 93451, 93458-93461).
• 93453- Combined right and left heart catheterization including
intraprocedural injection(s) for left ventriculography, imaging
supervision and interpretation, when performed.
• (Do Not report 93453 in conjunction with 93451, 93452, 93456-93461).
49. Copyright 2010 | Advanced Billing Consultants, Inc.
New Cardiac Catheterization Codes
• 93454- Catheter placement in coronary artery(s) for coronary
angiography, including intraprocedural injection(s) for coronary
angiography, imaging supervision and interpretation;
• 93455- with catheter placement(s) in bypass graft(s) (internal
mammary, free arterial venous grafts) including intraprocedural
injection(s) for bypass graft angiography.
• 93456 with right heart catheterization
• 93457- with catheter placement(s) in bypass graft(s) (internal
mammary, free arterial, venous grafts) including intraprocedural
injection(s) for bypass graft angiography and right heart
catheterization.
• 93458- with left heart catheterization including intraprocedural
injection(s) for left ventriculography, when performed.
50. Copyright 2010 | Advanced Billing Consultants, Inc.
New Cardiac Catheterization Codes
• 93459 -with left catheterization including intraprocedural
injection(s) for left ventriculography, when performed, catheter
placement(s) in bypass graft(s) (internal mammary, free
arterial, venous grafts) with bypass graft angiography.
• 93460- with right and left heart catheterization including
intraprocedural injection(s) for left ventriculography, when
performed.
• 93461- with right and left heart catheterization including
intraprocedural injection(s) for left ventriculography, when
performed, catheter placement(s) in bypass graft(s) (internal
mammary, free arterial, venous grafts) with bypass graft
angiography.
51. Copyright 2010 | Advanced Billing Consultants, Inc.
New Cardiac Catheterization Codes
• 93462 -Left heart catheterization by transseptal puncture
through intact septum of by transapical puncture(List separately
in addition to code for primary procedure)
• (Use 93462 in conjunction with 93452, 93453, 93458-93461, 93651, 93652)
• Pharmacologic agent administration (e.g., inhaled nitric
oxide, intravenous infusion of
nitroprusside, dobutamine, milrinone, or other agent), including
assessing hemodynamic measurements before, during after and
repeat pharmacologic agent administration, when performed
(List separately in addition to code for primary procedure).
• (Use 93463 in conjunction with 93451-93453, 93456-93461, 93530-93533)
• (Report 93463 only once per catheterization procedure)
• (Do Not report 93463 for pharmacologic agent administration in conjunction with
coronary interventional procedure codes 92975, 92977, 92980, 92982, 92995)
52. Copyright 2010 | Advanced Billing Consultants, Inc.
New Cardiac Catheterization Codes
• 93464- Physiologic exercise study (e.g., bicycle or arm
ergometry) including assessing hemodynamic measurements
before and after (List separately in addition to code for primary
procedure)
• (Use 93464 in conjunction with 93451-93453, 93456-93461, 93530-93533)
• (Report 93464 only once per catheterization procedure)
• (for pharmacologic agent administration, use 93463)
53. Copyright 2010 | Advanced Billing Consultants, Inc.
New injection, imaging supervision,
interpretation, and report codes for congenital
heart catheterization
• 93563- injection procedure during cardiac catheterization
including imaging supervision, interpretation, and report; for
selective coronary angiography during congenital hearth
catheterization (List separately in addition to code for primary
procedure)
• 93564- for selective opacification of aortocoronary venous or
arterial bypass graft(s) (e.g., aortocoronary saphenous vein, free
radial artery, or free mammary artery graft) to one or more
coronary arteries and in situ arterial conduits (e.g., internal
mammary), whether native or used for bypass to one or more
coronary arteries during congenital heart catheterization, when
performed (List separately in addition to code for primary
procedure).
54. Copyright 2010 | Advanced Billing Consultants, Inc.
Additional new injection, imaging supervision,
interpretation, and report codes
• 93565- for selective left ventricular or left atrial angiography
(List separately in addition to code for primary procedure)
• (Do Not report 93563-93565 in conjunction with 93452-93461)
• (Use 93563-93565 in conjunction with 93530-93533)
• 93566- for selective right ventricular or right atrial angiography
(List separately in addition to code for primary procedure)
• 93567- for supravalvular aortography (List separately in addition
to code for primary procedure)
• 93568- for pulmonary angiography (List separately in addition to
code for primary procedure)
• (Use 93566-93568 in conjunction with 93530-93533, 93451-93461)
56. Copyright 2010 | Advanced Billing Consultants, Inc.
Cardiac Catheterization cont’d.
• 93451- Right heart catheterization including
measurement(s) of oxygen saturation and cardiac output,
when performed.
New CPT Current Current Current 2011 Work
Code Procedures to Codes to be Work RVU RVU
be Bundled Bundled
93451 RHC 93501 3.02 2.72
R ht
57. Copyright 2010 | Advanced Billing Consultants, Inc.
Cardiac Catheterization cont’d.
• 93452- Left heart catheterization including intraprocedural
injection(s) for left ventriculography, imaging supervision
and interpretation, when performed
New CPT Current Current Current 2011
Code Procedures to Codes to Work RVU Work RVU
be Bundled be
Bundled
93452 LHC 93510 4.32
L ht LV injection 93543 0.145
S&I for LV 93555 0.81
angio
Total 5.275 4.75
58. Copyright 2010 | Advanced Billing Consultants, Inc.
Cardiac Catheterization cont’d.
• 93453- Combined right and left heart catheterization
including intraprocedural injection(s) for left ventriculography,
imaging supervision and interpretation, when performed.
New Current Current Current 2011
CPT Procedures to Codes to be Work RVU Work RVU
Code be Bundled Bundled
93453 RLHC 93526 5.98
R ht LV injection 93543 0.145
L ht S&I for LV 93555 0.81
angio
Total 6.935 6.24
59. Copyright 2010 | Advanced Billing Consultants, Inc.
Cardiac Catheterization cont’d.
• 93454- Catheter placement in coronary artery(s) for
coronary angiography, including intraprocedural
injection(s) for coronary angiography, imaging supervision
and interpretation;
New CPT Current Current Current 2011 Work
Code Procedures to Codes to Work RVU
be Bundled be RVU
Bundled
93454 Cor Angio 93508 4.09
Cor 93545 0.4
93556 0.83
Total 5.32 4.79
60. Copyright 2010 | Advanced Billing Consultants, Inc.
Cardiac Catheterization cont’d.
• 93455- Catheter placement in coronary artery(s) for coronary
angiography, including intraprocedural injection(s) for coronary
angiography, imaging supervision and interpretation; with catheter
placement(s) in bypass graft(s) (internal mammary, free arterial venous
grafts) including intraprocedural injection(s) for bypass graft angiography.
New CPT Current Current Current 2011
Code Procedures to be Codes to be Work Work
Bundled bundled RVU RVU
93455 Cor Angio 93508 4.09
Cors Cor Injection 93545 0.4
Grafts S&I Cor Injection 93556 0.83
Inject Arterial 93539 0.4
Condui
Inject SVG’s 93540 0.43
Total 6.15 5.54
61. Copyright 2010 | Advanced Billing Consultants, Inc.
Cardiac Catheterization cont’d.
• 93456- Catheter placement on coronary artery(s) for
coronary angiography, including intraprocedural
injection(s) for coronary angiography, imaging supervision
and interpretation; with right heart catheterization.
New CPT Current Current Current 2011
Code Procedures to Codes to Work Work
be Bundled be Bundled RVU RVU
93456 Cor Angio 93508 4.09
Cors Cor Injection 93545 0.4
R ht S&I Cor Injection 93556 0.83
RHC 93501 1.51
Total 6.83 6.15
62. Copyright 2010 | Advanced Billing Consultants, Inc.
Cardiac Catheterization cont’d.
• 93457- Catheter placement in coronary artery(s) for coronary
angiography, including intraprocedural injection(s) for coronary
angiography, imaging supervision and interpretation; with catheter
placement(s) in bypass graft(s) (internal mammary, free arterial, venous
grafts) including intraprocedural injection(s) for bypass graft angiography and
right heart catheterization.
New CPT Current Current Current 2011 Work
Code Procedures to be Codes to be Work RVU
Bundled Bundled RVU
93457 Cor Angio 93508 4.09
Cor Cor Injection 93545 0.4
Grafts S&I Cor Injection 93554 0.83
R ht Inject Arterial 93539 0.4
Condui
Inject SVG’s 93540 0.43
RHC 93501 1.51
63. Copyright 2010 | Advanced Billing Consultants, Inc.
Cardiac Catheterization cont’d.
• 93458- Catheter placement in coronary artery(s) for
coronary angiography, including intraprocedural
injection(s) for coronary angiography, imaging supervision
and interpretation; with left heart catheterization including
intraprocedural injection(s) for left ventriculography, when
performed.
New CPT Current Current Current 2011 Work
Code Procedures to Codes to be Work RVU RVU
be Bundled Bundled
93458 Cor Injection 93545 0.4
L ht S&I Cor Injection 93556 0.83
Cors LHC 93510 4.32
LV Injection 93543 0.145
S&I for LV Angio 93555 0.81
Total 6.505 5.85
64. Copyright 2010 | Advanced Billing Consultants, Inc.
Cardiac Catheterization cont’d.
• 93459- Catheter placement in coronary artery(s) for coronary angiography,
including intraprocedural injection(s) for coronary angiography, imaging
supervision and interpretation; with left heart catheterization including
intraprocedural injection(s) for left ventriculography, when performed, catheter
placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts) with
bypass graft angiography.
New CPT Current Current Current 2011
Code Procedures to be Codes to Work RVU Work
Bundled be Bundled RVU
93459 Cor Injection 93545 0.4
L ht S&I Cor Injection 93556 0.83
Grafts LHC LV Injection 93510 4.32
Cors 93543 0.145
S&I for LV Angio 93555 0.81
Inject Arterial 93439 0.4
Condui
Inject SVG’s 93450 0.43
Total 7.335 6.6
65. Copyright 2010 | Advanced Billing Consultants, Inc.
Cardiac Catheterization cont’d.
• 93460- Catheter placement in coronary artery(s) for
coronary angiography, including intraprocedural
injection(s) for coronary angiography, imaging supervision
and interpretation; with right and left heart catheterization
including intraprocedural injection(s) for left ventriculography.
When performed.
New CPT Current Current Current 2011
Code Procedures to be Codes to be Work RVU Work
Bundled Bundled RVU
93460 Cor Injection 93545 0.4
L ht S&I Cor Injection 93556 0.83
Cors LV Injection 93543 0.145
R ht S&I for LV Angio 93555 0.81
RLHC 93526 5.98
Total 8.165 7.35
66. Copyright 2010 | Advanced Billing Consultants, Inc.
Cardiac Catheterization cont’d.
• 92461- Catheter placement in coronary artery(s) for coronary angiography,
including intraprocedural injection(s) for coronary angiography, imaging
supervision and interpretation; with right and left heart catheterization including
intraprocedural injection(s) for left ventriculography. When performed, catheter
placement(s) in bypass graft(s) (internal mammary, free arterial, venous grafts)
with bypass graft angiography.
New CPT Current Current Current 2011
Code Procedures to be Codes to be Work RVU Work
Bundled Bundled RVU
93461 Cor Injection 93545 0.4
L ht S&I Cor Injection 93556 0.83
R ht LV Injection 93543 0.145
Cors S&I for LV Angio 93555 0.81
Grafts RLHC 935296 5.98
Inject Arterial 93539 0.4
Condui
Inject SVG’s 93540 0.43
67. Copyright 2010 | Advanced Billing Consultants, Inc.
Neurology and Neuromuscular
Procedures in Medicine System
Special EEG Tests
• 95953 Monitoring for localization of cerebral seizure
focus by computerized portable 16 or more channel
EEG, electroencephalographic (EEG) recording and
interpretation, each 24 hours, unattended.
• 95956 Monitoring for localization of cerebral seizure
focus by cable or radio, 16 or more channel telemetry,
electroencephalographic (EEG) recording and
interpretation, each 24 hours, attended by a
technologist or nurse.