{"id":4395,"date":"2019-04-18T05:52:50","date_gmt":"2019-04-18T05:52:50","guid":{"rendered":"https:\/\/medisysdata.com\/?p=4395"},"modified":"2023-10-31T17:33:34","modified_gmt":"2023-10-31T12:03:34","slug":"reimbursement-for-smoking-cessation-99406-and-99407","status":"publish","type":"post","link":"https:\/\/www.medisysdata.com\/blog\/reimbursement-for-smoking-cessation-99406-and-99407\/","title":{"rendered":"Reimbursement for Smoking Cessation 99406 and 99407"},"content":{"rendered":"\r\n<p>Letting reimbursable services go unbilled is something few family physicians can afford, yet we all do it. In some cases we decide that documenting and coding for a particular service is more trouble than it\u2019s worth or we may simply misunderstand the billing requirements. But as our profit margins grow ever narrower, it\u2019s especially foolish to leave money on the table. Determination and disciplined coding and documentation can make a noticeable difference in your revenue.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Check your opportunities!<\/h2>\r\n\r\n\r\n\r\n<p>You could be the one who yet have to catch the opportunity to get billing done for counselling for cessation on smoking and tobacco use. As coverage is provided \u00a0for\u00a0 patients\u00a0 who\u00a0 use\u00a0 tobacco and\u00a0 have a disease or an adverse\u00a0 health\u00a0 effect\u00a0 that\u00a0 has been\u00a0 found\u00a0 by\u00a0 the\u00a0 U.S.\u00a0 <a href=\"https:\/\/www.cdc.gov\/tobacco\/sgr\/index.htm\" target=\"_blank\" rel=\"noopener\">Surgeon\u00a0 General<\/a>\u00a0 to\u00a0 be\u00a0 linked\u00a0 to tobacco\u00a0 use,\u00a0 or\u00a0 patients\u00a0 who\u00a0 are\u00a0 taking\u00a0 a\u00a0 therapeutic\u00a0 agent whose\u00a0 metabolism\u00a0 or\u00a0 dosing\u00a0 is\u00a0 affected\u00a0 by\u00a0 tobacco\u00a0 use.<\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\">Know the codes you work for!<\/h3>\r\n\r\n\r\n\r\n<p>When billing for more than three minutes of smoking and tobacco cessation counseling, you may use the following codes:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>99406: Smoking and tobacco-use cessation counseling visit; intermediate, greater than 3 minutes\u00a0\u00a0 up to 10 minutes.<\/li>\r\n<li>99407: Smoking and tobacco-use cessation counseling visit; intensive, greater than 10 minutes.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p>Payment can be done separately for tobacco cessation counseling of more than three minutes when diagnosis codes describe the patient\u2019s condition or therapeutic agent affected by tobacco use.<\/p>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\">How much it covers?<\/h3>\r\n\r\n\r\n\r\n<p>If your clinic is just beginning to provide these services to your patient population, it\u2019s best to verify coverage criteria prior to claim submission. Many payers group tobacco use cessation counseling under the umbrella of anticipatory guidance and will not reimburse it separately. Knowledge of potential reimbursement errors keeps the denial rate low and provider-patient relationships strong.<\/p>\r\n\r\n\r\n\r\n<h2 class=\"wp-block-heading\">Maximize reimbursement from all insurance payers!<\/h2>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Close the gap between peak cash potential and actual cash generated on claims by mitigating insurance denials and underpayments. We can provide intelligently workflow and analytics solution that helps ensure healthcare providers to \u00a0get ahead of denial management and achieve the highest reimbursement from all insurance payers.<\/li>\r\n<li>You can be able to accelerate cash from insurance payers by quickly collecting on claims that might otherwise be denied.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<h3 class=\"wp-block-heading\">Documentation may determine payment&#8230;<\/h3>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\r\n<li>Proper documentation and verifying coverage criteria prior to claim submission can improve your chances for reimbursement.<\/li>\r\n<li>Proper documentation for tobacco-use cessation counseling should include the total time spent face to face with the patient, and what was discussed clearly in details.<\/li>\r\n<\/ul>\r\n\r\n\r\n\r\n<p>Our cutting-edge, proprietary technology combined with people domain expertise powers our<a href=\"https:\/\/www.medisysdata.com\/\" target=\"_blank\" rel=\"noopener\"> outsourcing denial management<\/a> solution to deliver both root-cause and actionable insights. We leverage sophisticated workflow and analytics that allow us to work accounts in groups by root causes with proven resolutions much faster than competing solutions.<\/p>\r\n\r\n\r\n\r\n<p>It becomes essential in the\u00a0 daily\u00a0 struggle\u00a0 to\u00a0 ensure\u00a0 the\u00a0 financial\u00a0 viability\u00a0 of\u00a0 our\u00a0 practices,\u00a0 as we\u00a0 can\u2019t\u00a0 afford to\u00a0 miss\u00a0 these\u00a0 payment opportunities. If you\u2019re providing any of these services but not billing for them or if you\u2019re not sure whether you\u2019re getting paid or billing correctly for them, take action today. You\u2019ll soon be glad you did it.<\/p>\r\n","protected":false},"excerpt":{"rendered":"<p>Letting reimbursable services go unbilled is something few family physicians can afford, yet we all do it. In some cases we decide that documenting and coding for a particular service is more trouble than it\u2019s worth or we may simply misunderstand the billing requirements. But as our profit margins grow ever narrower, it\u2019s especially foolish [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":4767,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","footnotes":""},"categories":[3],"tags":[30,11,49,6,7,12,27,13,14],"class_list":["post-4395","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-medical-billing-services","tag-leading-medical-billing-services-company","tag-medical-billing-coding","tag-medical-billing-process","tag-medical-billing-services","tag-medical-coding-services","tag-most-preferred-medical-billing-company","tag-outsourcing-medical-billing-services","tag-specialized-medical-billing-coding-resources","tag-top-medical-billing-company"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v21.4 (Yoast SEO v27.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Reimbursement for Smoking Cessation 99406 and 99407<\/title>\n<meta name=\"description\" content=\"Learn about reimbursement for Smoking Cessation CPT codes 99406 and 99407. Get the insights you need for better claims.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.medisysdata.com\/blog\/reimbursement-for-smoking-cessation-99406-and-99407\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Reimbursement for Smoking Cessation 99406 and 99407\" \/>\n<meta property=\"og:description\" content=\"Learn about reimbursement for Smoking Cessation CPT codes 99406 and 99407. Get the insights you need for better claims.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.medisysdata.com\/blog\/reimbursement-for-smoking-cessation-99406-and-99407\/\" \/>\n<meta property=\"og:site_name\" content=\"Leading Medical Billing Outsourcing Services Company in the USA\" \/>\n<meta property=\"article:published_time\" content=\"2019-04-18T05:52:50+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-10-31T12:03:34+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/www.medisysdata.com\/blog\/wp-content\/uploads\/2019\/04\/Blog_Reimbursement-for-Smoking-Cessation-99406-and-99407-1024x394-1.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1024\" \/>\n\t<meta property=\"og:image:height\" content=\"394\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"medisys\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"medisys\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"3 minutes\" \/>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"Reimbursement for Smoking Cessation 99406 and 99407","description":"Learn about reimbursement for Smoking Cessation CPT codes 99406 and 99407. 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