Fun With End Notes
Needed when 878 is added and treatment is ongoing.
What is a review for escalation or a discussion with the provider about the diagnosis?
This is treatment that involves pricking the skin or tissues with needles, used to alleviate pain and to various conditions.
What is Acupuncture?
This is the year ICD-10 was implemented by the Federal Government.
What is 1993, and enforced as of October, 2015.
This is the status reason for a bill you've seen before on the same exposure.
What is a duplicate?
A New Patient exam, coded as 99203 must include what elements?
What is History, Exam, & Medical Decision Making?
I can find the full definition of every end note here.
What is the lookup tool?
Where you can find a more detailed explanation of why endnotes are applied.
What is the claimant diary?
This is what the ICD stands for.
What is International Classification of Diseases?
This modifier is seen often in Chiro billing for manual therapy.
What is modifier -59?
A Corrected Claim submitted by a provider to submit medical records may result in this End Note and denial.
What is 4, Duplicate Claim?
EN 3264 and 3763 have this in common
What is NHQ Processing?
This is treatment of disease, injury, or deformity by physical methods such as massage, heat treatment, and exercise.
What is Physical Therapy?
Each human body has this many phalanges.
What is 10?
Level IV Emergency Room Physician billing the date of the accident, DP denies stating records needed.
What is review for override denial and process thru PPO networks (if applicable)?
In order to ensure a claim goes to SLR, this must be done.
What is uncheck the override box for all lines and input a medical record date?
This can be added if a procedure is not related to an injury from a MVA. Also the final countdown for blastoff.
What is end note 321?
The Key components of E/M coding include these.
What are history, exam, and medical decision making?
This is the lowest region of the spine before the tailbone.
What is the Sacral region?
This tells you a service was included in another line item and wouldn't show up if there was a modifier.
What is end note 11?
This is where DP sends bills that need a little extra something.
What is SBQ?
This endnote indicates that a CPT code should not have been billed because it is included in another procedure.
What is endnote 11.
This code is still being used but denied as invalid code for PT evluations
What is 97001?
R51 is an ICD-10 commonly reported after an auto accident. This training may also cause the same symptom.
What is a headache?
These bills are submitted on CMS-1500 and UB-04, often resulting in a denial for duplicate.
What is Facility vs. Physician bill?
These are the 5-spinal regions recognized by AMA.
What are Cervical, Thoracic, Lumbar, Sacral & Pelvic regions?