H&B = Health and Behavior; CPT = Current Procedural Terminology
. (*) p [less than or equal to] .01.
Nicola et al., "Current procedural terminology
: a primer," Journal of NeuroInterventional Surgery, vol.
Prescription of an opioid was ascertained during the prenatal period for women with an ICD-9 and Current Procedural Terminology
code indicating a live birth, and for the entire reporting period for all other women of reproductive age.
- Implementation of International Classification of Diseases (ICD) and Current Procedural Terminology
Does the treatment being provided and billed match the medical provider's SOAP (subjective, objective, assessment plan) notes, which can be a great indicator of not only what treatment really occurred, but also a red flag for current procedural terminology
coding and modifier abuse.
* The AMA: The American Medical Association published the first edition of the Current Procedural Terminology
(CPT) code book.
Repetitive themes are (a) the degree with which the clinic is integrated in primary care and mental health; (b) the population served; (c) the mission of the clinic; (d) the staff required to provide services; (e) the amount of reimbursement received for services; (f) whether the procedures are coded on the Current Procedural Terminology
(CPT), International Statistical Classification of Diseases and Related Health Problems (ICD), or Diagnostic and Statistical Manual of Mental Disorders (DSM) standards; (g) the financial structure of the clinic (FQHC, NMHC, academic affiliate, or transitioning); (h) and the ratio of private insurance, public insurance, private pay, or no insurance.
Riaz Khan, general manager of Prime Hospital, of the Prime Healthcare Group, Dubai, explains: "Prime Hospital has worked towards the creation of a completely CPT (Current Procedural Terminology
) coded price list without any duplicates.
Unusual patterns in claims using specific Current Procedural Terminology
(CPT) codes, excessive claim submission for certain residents, excessive claims from certain providers and other sources of data all be may used to identify targets.
The Need for New Molecular Pathology Current Procedural Terminology
Currently, to be eligible for the quarterly payments, primary care physicians have to show that at least 60% of their total Medicare allowed charges come from Current Procedural Terminology
(CPT) codes 99201-99215 (for office and other outpatient visits).
The Psychiatry section of the American Medical Association's manual on Current Procedural Terminology
codes is a disaster.