Reimbursement for Smoking Cessation 99406 and 99407

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• Reimbursement for Smoking Cessation 99406 and
  99407

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Reimbursement for Smoking Cessation 99406 and
99407

• Letting reimbursable services go unbilled is
  something few family physicians can afford, yet
  we all do it. In some cases we decide that
  documenting and coding for a particular service
  is more trouble than its worth or we may simply
  misunderstand the billing requirements. But as
  our profit margins grow ever narrower, its
  especially foolish to leave money on the table.
  Determination and disciplined coding and
  documentation can make a noticeable difference in
  your revenue.
• Check your opportunities!
• You could be the one who yet have to catch the
  opportunity to get billing done for counselling
  for cessation on smoking and tobacco use. As
  coverage is provided for patients who use
  tobacco and have a disease or an adverse health
  effect that has been found by the U.S.
  Surgeon General to be linked to tobacco
  use, or patients who are taking a
  therapeutic agent whose metabolism or dosing
  is affected by tobacco use.
• Know the codes you work for!
• When billing for more than three minutes of
  smoking and tobacco cessation counseling, you may
  use the following codes

Medical Billing Services in Oregon
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Reimbursement for Smoking Cessation 99406 and
99407

• 99406 Smoking and tobacco-use cessation
  counseling visit intermediate, greater than 3
  minutes up to 10 minutes.
• 99407 Smoking and tobacco-use cessation
  counseling visit intensive, greater than 10
  minutes.
• Payment can be done separately for tobacco
  cessation counseling of more than three minutes
  when diagnosis codes describe the patients
  condition or therapeutic agent affected by
  tobacco use.
• How much it covers?
• If your clinic is just beginning to provide these
  services to your patient population, its best to
  verify coverage criteria prior to claim
  submission. Many payers group tobacco use
  cessation counseling under the umbrella of
  anticipatory guidance and will not reimburse it
  separately. Knowledge of potential reimbursement
  errors keeps the denial rate low and
  provider-patient relationships strong.
• Maximize reimbursement from all insurance payers!
• Close the gap between peak cash potential and
  actual cash generated on claims by mitigating
  insurance denials and underpayments.
• We can provide intelligently workflow and
  analytics solution that helps ensure healthcare
  providers to get ahead of denial management and
  achieve the highest reimbursement from all
  insurance payers.
• You can be able to accelerate cash from insurance
  payers by quickly collecting on claims that might
  otherwise be denied.

Medical Billing Services in Oregon
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Reimbursement for Smoking Cessation 99406 and
99407

• Documentation may determine payment
• Proper documentation and verifying coverage
  criteria prior to claim submission can improve
  your chances for reimbursement.
• Proper documentation for tobacco-use cessation
  counseling should include the total time spent
  face to face with the patient, and what was
  discussed clearly in details.
• Our cutting-edge, proprietary technology combined
  with people domain expertise powers our
  outsourcing denial management solution to deliver
  both root-cause and actionable insights. We
  leverage sophisticated workflow and analytics
  that allow us to work accounts in groups by root
  causes with proven resolutions much faster than
  competing solutions.
• It becomes essential in the daily struggle to
  ensure the financial viability of our
  practices, as we cant afford to miss these
  payment opportunities. If youre providing any of
  these services but not billing for them or if
  youre not sure whether youre getting paid or
  billing correctly for them, take action today.
  Youll soon be glad you did it.

Medical Billing Services in Oregon