More Info While the titles are often combined, and many employers require a specialist to perform both functions, medical coding and medical billing are two separate fields.
Endocrine disorder unspecified N Endogenous androgens are responsible for the normal growth and development of the male sex characteristics. Testosterone levels vary from hour to hour; periodic declines below the normal range can occur in some otherwise normal men. An overall diurnal rhythm is also present, the highest levels of circulating testosterone occurring during the early morning hours.
In certain medical conditions such as hypogonadism, the endogeonous level of testosterone falls below normal levels. The diagnosis of androgen deficiency is made in men with consistent signs and symptoms and unequivocally low serum testosterone levels.
Testosterone levels should be determined in the morning, and studies should be repeated in patients with subnormal levels. Primary hypogonadism includes such conditions as testicular failure due to cryptorchidism, bilateral torsion, orchitis, vanishing testes syndrome; or orchidectomy.
Hypogonadotrophic hypogonadism secondary hypogonadism includes conditions such as idiopathic or gonadotropic luteinizing hormone releasing hormone LHRH deficiency or pituitary-hypothalamic injury from tumors, trauma or radiation.
Androgens are contraindicated in men with carcinomas of the breast or with known or suspected carcinomas of the prostate. For patients that clearly meet the indication for testosterone replacement, the reason s for a transition to pellets from other effective replacement IM, buccal, transdermal must be specifically addressed in the medical record.
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Clinical diagnosis of androgen deficiency non-specific symptoms, low normal testosterone levels, and normal free testosterone is not a covered indication. Office practices with high utilization of testosterone pellet implantations can be subject to pre- or post-payment review.
Implantable testosterone pellets for the treatment of symptoms associated with menopause is considered not reasonable and necessary as there is insufficient clinical evidence to support this use and is therefore non-covered.
The reason s for a transition to pellets from other effective replacement IM, buccal, transdermal must be specifically addressed in the medical record. The medical record should reflect two total testosterone levels and free testosterone levels when indicated to determine the medical necessity of testosterone replacement.
It is suggested to measure morning testosterone level by a reliable assay on two different days. The results of both tests must fall below the normal laboratory reference range. Medical record documentation must be made available upon request. When the documentation does not meet the criteria for the services rendered, or the documentation does not establish the medical necessity for the service ssuch services will be denied as not reasonable and necessary under Section a 1 A of the Social Security Act.
Testosterone is an endogenous androgen. In certain medical conditions such as hypogonadism, the endogenous level of testosterone falls below normal levels.Medical Coding and Medical Billing Training The vast majority of medical coding and billing career training programs offered on campus and online are good and lead to desired diplomas and degrees, but vary in length, cost and outcome.
Medical billing is the process of submitting and following up on claims with health insurance companies in order to receive payment for services rendered by a healthcare provider. Medical billing translates a healthcare service into a billing claim.
Medical Billing and Coding. Medical billers and medical coders are the healthcare professionals in charge of processing patient data such as treatment records and related insurance information. The medical billing process is a process that involves a health care provider and the insurance company (payer) pertaining to the payment of medical services rendered to the clients.
The entire procedure involved in this is known as the billing cycle sometimes referred to as Revenue Cycle Management.
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