Coding

1. Coding May 17, 2012 Carol McEwen, LPN, CMC Vicki Gilbert, CPC Tina Webber, CPC

2. Misc informationfrom the Coders Page 1 -10 CERT Audit report on E & M errors 99310 � 92% 99215 � 64% 99223 � 57% 99233 � 51% Modifier 22 Fact Sheet Billing for Rhogam (Rh Ig) Medicare HMOs and Hospice patients Administration of Pediatric immunization codes Billing 99051 � service in evening, weekend and holiday in the office ICD-10 implementation delayed till 10-1-2014 Class to be offered soon by Cigna

3. Medicare & MedicaidPages 11-20 G0443 � Alcohol misuse counseling New Influenza vaccine code � Q2034 Payment reduction for certain diagnostic imaging procedures New CLIA approved tests

4. Blue Cross Blue ShieldPage 21- 26a HCPCS codes added that are not covered by BCBSM Obesity intervention counseling Additional preventive services for women with no cost sharing Office Chemotherapy infusion code clarified

5. Midwest Health PlanPage 27 to 34 New Member physical assessment bonus VFC vaccine information Testing for pharyngitis in children including appropriate ICD-9 codes and CPT codes Chart review project What�s new in 2012 for adolescent immunization

6. Priority Health & CignaPage 35 to 37 Incentatives for Medicare Measures from Priority Health Cigna support for patients with Hepatitis C

7. United Health CarePages 38 to 64 Medical Management Guidelines � page 38 to 52 Benefit Interpretation policy updates page 53 to 56 New and Updated Policies page 57to 59 Outpatient codes that will be reimbursed UHC even though usually done inpatient page 60

8. UHC � Oxford Page 61 to 64 Policy updates with effective dates

9. More Misc page 65 and 66 Midwest Health � depression screening VFC vaccine requirements

10. Molina Healthcarepage 67 to 73 Authorization requirements effective 4/1/12 and 7/1/12 Procedures not requiring authorization Prior authorization form Prior authorization imaging update

11. Cigna � page 74 & 75 Electronic tools Precertification and fee schedule changes for May

12. Total Health CarePage 76 to 78 Checking BMI during Well Child Visit

13. Medicarepage 79 to 99 Home Health Face to Face Encounter Questions and Answers