Tag: billing

A 90791 claim can look clean and still fail review because the note does not prove a psychiatric diagnostic evaluation occurred. The safest approach is to connect the presenting problem, mental status findings, diagnostic reasoning, medical necessity, and treatment plan in one audit-ready record. CPT code 90791 documentation requirements generally include the reason for evaluation, relevant […]

A remote cardiac transmission can be clinically valid and still produce a denied claim. The usual problem is not the device data. It is a mismatch between the monitoring period, technical work, related professional code, documentation, or billing entity. The 93296 CPT code description identifies the technical portion of remote interrogation for qualifying pacemaker and implantable defibrillator […]