Endocrinology billing centres on continuing management rather than discrete procedures, which changes what has to be documented. Chronic care time is billable, but only when it is recorded as time.
Supply billing is the other half. Continuous glucose monitoring and related supplies pay only when linked to a qualifying diagnosis and billed within the payer's replacement frequency.
What trips endocrinology claims up
- Continuous glucose monitoring codes linked to a qualifying diagnosis
- Supply and sensor frequency billed within payer replacement limits
- Chronic care and management time documented when it's billed
- Lab panels checked against frequency edits before resubmission
What we check before a claim goes out
- CGM and supply codes linked to a qualifying diagnosis
- Replacement frequency checked against payer limits
- Chronic care management time documented when billed