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Q: We have claims that are hitting an edit between a procedure HCPCS code and the new codes for moderate sedation (99151–99153). Since moderate sedation is no longer inherent in any procedure beginning January 1, why are these scenarios hitting an edit?

We have a provider-based department that was off-campus and it recently moved on-campus. Will it lose its provider-based designation?

What are the consequences if hospitals don’t issue the MOON in the required time period or fail to deliver it entirely?

Is modifier -PN used instead of or in addition to modifier -PO in a non-excepted department? Do we still need to add modifier -PO in general?

Do you have any recommendations as to who is best suited to fill out the Medicare Outpatient Observation Notice? Why?

The facility where I work will be charging for medication therapy management (MTM) services at its clinics. I am wondering whether we should bill MTM services with a 1500 or UB-04 form.

Are hospitals required to deliver the Medicare Outpatient Observation Notice in its standard format or can they modify the language on the form?

Q: I have a question about coding a medically induced coma. For example, how would I report a patient on a Precedex drip for alcohol withdrawal, supported with mechanical ventilation, and intensive nursing care?