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Welcome to HealthCareAutomations.net! Our site is designed to detail our services and keep our clients up-to- date with pertinent information. These updates will be shown on the bottom of every page, as well as under the “News and Resources” tab. We will also load any relevant documents related to the updates under the Resources Category section on the right side of the website. Just click on that category and all relevant articles will load.
Make sure to check back at least once a month to review any news or changes. We will also continue to expand the Resources section to include information concerning best coding practices and coverage guidelines for com- mon procedures. Currently, you can find Clinix manuals as well as information for 2014 PQRS in the Resources box.
Please take time to review the website. If you have any feedback or questions, feel free to contact Dave or Ben.
Medicare to Audit Visits Billed With Nail Debridement
Via a recent Medicare audit of dates of services on which an office visit and nail debridement (11720, 11721) were both billed, they found most provider’s records do not justify separate billing of the visit. In correspondence with this, Medicare recently announced that they will be performing prepayment reviews of visits billed with a 25 modifier in conjunction with a nail debridement. It is likely that they will request medical notes prior to pay- ing such charges.
To fully comply with Medicare’s guidelines for separate reimbursement, a visit should be performed for an un- related problem to the nail debridement. When billing this combination, please make sure your medical notes clearly identify the separate problems being treated, and mark your diagnosis codes accordingly.