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10/22/2009

Non-physician practitioners (NPPs) are seeing a high denial rate on low-level E/M codes, according to an NPP Report analysis of the latest CMS claims data. 99212 (office/outpatient visit, est., $37.15) was denied an astounding 20.2% of the time in 2008 - that's more than one denial for every five claims submitted. 99211 (office/outpatient visit, est., $18.75) had a 40.6% denial rate in 2008.

10/22/2009

Physical therapy and chiropractic manipulation codes remain the fastest-growing but most often denied services for non-physician practitioners (NPPs), according to an NPP Report analysis of the latest CMS claims data.

10/22/2009

Can an NPP bill a time based code "incident-to"? I've heard various opinions on this and would like a source from Medicare that gives the correct answer.

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