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If it's a Medicare requirement that routine combinations be billed a certain way, how is it complicated? Or is the idea that routine combinations are always us
by maxerickson 4y ago
If it's a Medicare requirement that routine combinations be billed a certain way, how is it complicated?
Or is the idea that routine combinations are always used to justify the billing code with the highest possible revenue?
I was pretty pissed off when the local ER and traveling doctor used the CT scan I got to justify a more complicated case, when what happened is that the radiologist made a definitive diagnosis for $20 and basically eliminated any liability for sending me home with a prescription for antibiotics.
(a sinus infection irritated the nerves in one of my teeth and I became concerned about the degree of pain during the night on a weekend...not a particularly grave condition in the end, but easy enough to become concerned about pain radiating through your jaw)
- ghufran_syed 4y agodoesn’t the fact that the CT scan was ordered make it a more complicated case? vs one that involved no testing?
- maxerickson 4y agoIn terms of risk and unknowns, no. Which is basically my point. They charged me a lot for a test that de-risked them (and ruled out much further effort on my case) and then charged me more because they ordered it. I suppose in the case it didn't give them a definitive answer it might be more complicated.