Coding > Coding
POS issue
Neuro13:
We have a high tech zoom, auto focus camera with infrared that we place in a room in the patients house. This camera is attached to a lap top which syncs the brainwaves from the wireless headbox to the video. We just ask that the patient spend most of their time in that room, then remotely monitor the patient from a separate computer.
It's obviously not the ideal setting for adjusting medication levels in epileptics, but it's great for speudo-seizure, anxiety attacks, twitches etc. It's also way less expensive.
Merry:
Amazing. thanks for sharing. Love learning. Have you called Medicare about this? (figure long hold time and then not sure you will get correct answer)
http://www.supercoder.com/my-ask-an-expert/topic/what-should-be-the-place-of-service-for-95951
I would call Medicare and get the reasoning behind this difference. You are saying that if you bill straight Medicaid that you get paid for using 12 as a POS right?
Neuro13:
Well I spent the morning speaking to Medicare. I started with the national level, was given some advice and told to speak with my local medicare service provider. She was absolutely no help other than giving me a link to a POS descriptions page (which I already had). She then told me she can't tell me which POS are acceptable with 95951 TC (12) because she isn't a coder and cannot tell me how to bill my patients, even though they are the only insurance company who doesn't allow this.
So I'm no closer to finding an answer and even more frustrated than before. I guess that's what happens in this business. I have a new respect for you coders. It seems so frustrating and confusing since there are likely variations with every insurance company.
RichardP:
--- Quote from: Neuro13 on February 17, 2014, 12:09:50 AM ---We just ask that the patient spend most of their time in that room, then remotely monitor the patient from a separate computer.
--- End quote ---
And where, pray tell, is that separate computer located - from which you are actually doing the TC part of the test? I'm guessing it is not in the home? Voila, the home is not the "place of service" for the TC part of the test.
Merry:
http://www.codingcertification.org/forum/?__hssc=&__hstc&hsCtaTracking=0ffcd0ee-f743-4bc3-aa4c-76227bbf340a%7Cee3919de-95df-4650-b034-38b455e65af8
Try this discussion forum. It is specifically for coders and they may be able to help you.
Merry
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