One option to use your time more efficiently while performing these
types of test is to recruit, if possible, the help of other personnel.
For example, I had (with the application specialist) trained the
Medical assistants in the office to follow the steps to place the
oxygen sensors (after I and the surgeon would determine the sites).
While the recordings were under way, the medical assistants would
monitor the patient and call me to check results and place the sensors
on other sites. I know it seems somewhat complicated, but what it
allowed me to do was to perform part of exams on another patient at
the same time during the 10-15 minutes it took for each readings. I
explained to the other patient that I would come in and out of the
room to check another exam in progress. I never had any problems.
In regard to billing code not refecting the amount of time spent...
this is an issue we discussed at length in this forum several times
before. There is not much we can do immediately, we just have to be
creative in our time management.
Quoting Karen Broadbent <[log in to unmask]>:
> For those of you performing TCPO2 -
> We have been performing these exams for about six months, primarily for a
> research study, and more recently for evaluation for wound healing/amputation
> levels. Our clinical studies have been unilateral, until this week.
> How do the
> rest of you charge for the bilateral exam? My guess is that I should use
> 93923, for one or both legs, and suck it up (ie - spend 2 hours
> performing the
> bilateral exam with our 3 electrodes and accept the fact that I'll be losing
> money on this). Our surgeons have been pleased with our results, finding the
> results helpful. I want to do the best for my patients, but its
> nice to get paid
> for it also
> Karen Broadbent
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