payment for rocords/report writing for insur co

[Guest guest]

a couple weeks ago i sent out a query regarding payments for records

requested by insur co when patient pays LAc directly and submits subform to

insur co. in this case i was contacted by the insur co (assurant health)

for a list of 8 items, some of which is redundant, as follows:

 

 

1. physician px outling frequency, duration and type of tx

2. initial eval, incl. dx & prog

3. daily tx and progress notes

4. admittng report (?)

5. tx goals

6. TP, incl duration and freq of service

7. any formal re-eval of patient

8. discharge summary, if applicable

 

most of this is in my notes, but the info regarding prog/TP i gave orally

and did not write down.

 

i have no prob providing the info, i was wanting to know if i could bill and

get paid for the admin time/report writing. most of the response i received

were in regards to when atty's request records (yes you can bill, one

practitioner charges $175/report). ut in this case its an insur co that i do

not bill directly. one person said there is a code to bill for reports, but

she couldn't remember it off hand.

 

states vary concerning copying of records. in NC it's .25/page for the

first 25 pages, and graduates from there. there is no admin time fee pd.

 

i contacted the NC dept of insur life & health division. the rep i spoke to

said in NC there are no laws governing this, and that i woudl have to

contact the insur co directly and nego with them.

 

another practitioner said she just sends what she has, and usually it will

suffice. so i plan to quickly add a page discussion prog/TP and copy and

send what i have and see what happens.

 

responses to my query was requested, so this is basically the upshot.

 

kath

 

--

Kath Bartlett, LAc, MS, BA UCLA

Oriental Medicine

Experienced, Dedicated, Effective

 

 

Abstain from all that is evil.

Perform all that is good.

Purify your thoughts.

This is the teaching of the Buddhas.

 

Follow Your Bliss!

Joseph Campbel

 

 

Kath's Blog about , Healthy Living & Spirituality:

http://acukath.blogspot.com/

 

Flying Dragon Liniment: Effective pain relief for muscles & joints

Formulated by Kath Bartlett, Traditional Chinese Herbalist

Available at Asheville Center for :

www.FlyingDragonLiniment.com

 

Greenlife Grocery - Asheville, NC

 

Amazon.com

http://www.amazon.com/Flying-Dragon-Liniment-Eco-Friendly-Wild-Crafted/dp/B001OC\

1AZ2/ref=sr_1_1?ie=UTF8 & s=hpc & qid=1254968032 & sr=8-1

 

 

and from the following supply companies:

Kamwo Herbal Pharmacy: NY - Chinatown

https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1

 

Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC

http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \

product=5554 & pg=

 

 

Asheville Center For

70 Woodfin Place, Suite West Wing Two

Asheville, NC 28801 828.258.2777

kbartlett

www.AcupunctureAsheville.com

 

 

 

[Guest guest]

Kath--

 

I have recently learned that 99080 is the code to use for written report to

insurance company upon their request.

 

Best,

Marianne

 

Chinese Medicine , " "

wrote:

>

> a couple weeks ago i sent out a query regarding payments for records

> requested by insur co when patient pays LAc directly and submits subform to

> insur co. in this case i was contacted by the insur co (assurant health)

> for a list of 8 items, some of which is redundant, as follows:

>

>

> 1. physician px outling frequency, duration and type of tx

> 2. initial eval, incl. dx & prog

> 3. daily tx and progress notes

> 4. admittng report (?)

> 5. tx goals

> 6. TP, incl duration and freq of service

> 7. any formal re-eval of patient

> 8. discharge summary, if applicable

>

> most of this is in my notes, but the info regarding prog/TP i gave orally

> and did not write down.

>

> i have no prob providing the info, i was wanting to know if i could bill and

> get paid for the admin time/report writing. most of the response i received

> were in regards to when atty's request records (yes you can bill, one

> practitioner charges $175/report). ut in this case its an insur co that i do

> not bill directly. one person said there is a code to bill for reports, but

> she couldn't remember it off hand.

>

> states vary concerning copying of records. in NC it's .25/page for the

> first 25 pages, and graduates from there. there is no admin time fee pd.

>

> i contacted the NC dept of insur life & health division. the rep i spoke to

> said in NC there are no laws governing this, and that i woudl have to

> contact the insur co directly and nego with them.

>

> another practitioner said she just sends what she has, and usually it will

> suffice. so i plan to quickly add a page discussion prog/TP and copy and

> send what i have and see what happens.

>

> responses to my query was requested, so this is basically the upshot.

>

> kath

>

> --

> Kath Bartlett, LAc, MS, BA UCLA

> Oriental Medicine

> Experienced, Dedicated, Effective

>

>

> Abstain from all that is evil.

> Perform all that is good.

> Purify your thoughts.

> This is the teaching of the Buddhas.

>

> Follow Your Bliss!

> Joseph Campbel

>

>

> Kath's Blog about , Healthy Living & Spirituality:

> http://acukath.blogspot.com/

>

> Flying Dragon Liniment: Effective pain relief for muscles & joints

> Formulated by Kath Bartlett, Traditional Chinese Herbalist

> Available at Asheville Center for :

> www.FlyingDragonLiniment.com

>

> Greenlife Grocery - Asheville, NC

>

> Amazon.com

>

http://www.amazon.com/Flying-Dragon-Liniment-Eco-Friendly-Wild-Crafted/dp/B001OC\

1AZ2/ref=sr_1_1?ie=UTF8 & s=hpc & qid=1254968032 & sr=8-1

>

>

> and from the following supply companies:

> Kamwo Herbal Pharmacy: NY - Chinatown

> https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1

>

> Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC

>

http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \

product=5554 & pg=

>

>

> Asheville Center For

> 70 Woodfin Place, Suite West Wing Two

> Asheville, NC 28801 828.258.2777

> kbartlett

> www.AcupunctureAsheville.com

>

>

>

[Guest guest]

muchas gracias

 

On Wed, Mar 10, 2010 at 12:28 PM, mtbogunovich <mtbogunovichwrote:

 

>

>

> Kath--

>

> I have recently learned that 99080 is the code to use for written report to

> insurance company upon their request.

>

> Best,

> Marianne

>

> --- In

Chinese Medicine <Chinese Medicine%40yaho\

ogroups.com>,

> " " wrote:

> >

> > a couple weeks ago i sent out a query regarding payments for records

> > requested by insur co when patient pays LAc directly and submits subform

> to

> > insur co. in this case i was contacted by the insur co (assurant health)

> > for a list of 8 items, some of which is redundant, as follows:

> >

> >

> > 1. physician px outling frequency, duration and type of tx

> > 2. initial eval, incl. dx & prog

> > 3. daily tx and progress notes

> > 4. admittng report (?)

> > 5. tx goals

> > 6. TP, incl duration and freq of service

> > 7. any formal re-eval of patient

> > 8. discharge summary, if applicable

> >

> > most of this is in my notes, but the info regarding prog/TP i gave orally

> > and did not write down.

> >

> > i have no prob providing the info, i was wanting to know if i could bill

> and

> > get paid for the admin time/report writing. most of the response i

> received

> > were in regards to when atty's request records (yes you can bill, one

> > practitioner charges $175/report). ut in this case its an insur co that i

> do

> > not bill directly. one person said there is a code to bill for reports,

> but

> > she couldn't remember it off hand.

> >

> > states vary concerning copying of records. in NC it's .25/page for the

> > first 25 pages, and graduates from there. there is no admin time fee pd.

> >

> > i contacted the NC dept of insur life & health division. the rep i spoke

> to

> > said in NC there are no laws governing this, and that i woudl have to

> > contact the insur co directly and nego with them.

> >

> > another practitioner said she just sends what she has, and usually it

> will

> > suffice. so i plan to quickly add a page discussion prog/TP and copy and

> > send what i have and see what happens.

> >

> > responses to my query was requested, so this is basically the upshot.

> >

> > kath

> >

> >

>

>

> ,___

>

 

 

 

--

Kath Bartlett, LAc, MS, BA UCLA

Oriental Medicine

Experienced, Dedicated, Effective

 

 

Abstain from all that is evil.

Perform all that is good.

Purify your thoughts.

This is the teaching of the Buddhas.

 

Follow Your Bliss!

Joseph Campbel

 

 

Kath's Blog about , Healthy Living & Spirituality:

http://acukath.blogspot.com/

 

Flying Dragon Liniment: Effective pain relief for muscles & joints

Formulated by Kath Bartlett, Traditional Chinese Herbalist

Available at Asheville Center for :

www.FlyingDragonLiniment.com

 

Greenlife Grocery - Asheville, NC

 

Amazon.com

http://www.amazon.com/Flying-Dragon-Liniment-Eco-Friendly-Wild-Crafted/dp/B001OC\

1AZ2/ref=sr_1_1?ie=UTF8 & s=hpc & qid=1254968032 & sr=8-1

 

 

and from the following supply companies:

Kamwo Herbal Pharmacy: NY - Chinatown

https://www.kamwo.com/shop/product.php?productid=17442 & cat=0 & page=1

 

Golden Needle Acupuncture, Herbal & Medical Supply - Candler, NC

http://www.goldenneedleonline.com/index.php?page=categories & category=14 & vendor= & \

product=5554 & pg=

 

 

Asheville Center For

70 Woodfin Place, Suite West Wing Two

Asheville, NC 28801 828.258.2777

kbartlett

www.AcupunctureAsheville.com