Documentation cannot be used twice under the history component. This is referred to as "double dipping." Example: Allergies may be used under the ROS (Allergic/Immunologic) or under past history.
Double dipping occurs when the same information is used in more than one of the subcomponents of history. The subcomponents of history include: Chief Complaint (CC) History of Present Illness (HPI)
Let's look at an example to illustrate. In a chargeback scam, the customer double dips by receiving a refund while still keeping the 'returned' item. But customers can legitimately return items and still keep the item—if the retailer or shipping company instructs the customer to do so.
Key Takeaways:
Double dipping is an unethical practice whereby a broker places commissioned products into a fee-based account to earn money from both sources. Double dipping can lead to fines or suspensions from regulators for the offending broker or firm.
Examples of Unbundling Healthcare in Medical Billing
An example of undundling in healthcare could be a surgery typically involves an incision, when the patient is “opened,” and stitches when the patient is “closed.” The incision and the stitches are a bundled service.
Double Billing
A provider attempts to bill Medicaid and either a private insurance company or the patient for the same treatment. Or two providers try to get paid for services rendered to the same patient for the same procedure on the same date.
Unbundling refers to using multiple CPT codes for the individual parts of the procedure, either due to misunderstanding or in an effort to increase payment. Upcoding. Example: You are a physician in a specialty, such as oncology, that often has highly complex patients.
Scientists from Clemson University in South Carolina have discovered that double dipping, the practice of dipping a single tortilla chip into the guacamole more than once, is a good way to transfer bacteria from one person to another.
The primary concern with double-dipping revolves around the potential transfer of oral bacteria and saliva from an individual's mouth back into the communal dip, via some sort of dunking vessel.
A dip is a creamy, chunky, or saucy mixture of complementary ingredients into which you can dip finger foods like chips and crackers. Dips have various consistencies, from fresh, chunky options like salsa to creamy textures like guacamole, artichoke dip, or seven-layer dip.
ETIQUETTE | When sharing a platter, don't double dip! Meaning, don't dip the food in the sauce, then in your mouth and back into the sauce…
“Double-dipping”: students must ensure that they are not using material submitted for any other assessment component as part of their EE submission—see the subject-specific guidance for more details. Self-plagiarism is using or re-using work you have done before without acknowledging it.
D.I.P.P.S: This acronym refers to Dignity – Independence – Preference – Privacy – Safety. Patient: An individual, family, group, community or population receiving care, including, but is not limited to, “clients” or “residents” Personal gain: Advantage or benefit, financial or otherwise that a Support Workers receives.
The ICD codes denote your diagnosis and are used on hospital records, medical charts, visit summaries, bills and other patient paperwork to ensure the proper delivery of medical care. Meanwhile, the CPT codes correspond to the medical treatments you received during a visit.
A CPT modifier is a two-digit code that is appended to the CPT code to indicate that a service or procedure has been altered for some reason, but it does not change the main definition of the code.
The Clemson study found that double dipping three to six times would transfer about 10,000 bacteria from the eater's mouth to the remaining dip. This translates to about 50-100 bacteria from one mouth to another, in every bite.
After a double-dip, the bacteria increased in number up to five-fold, demonstrating that germs from our mouths use crackers as a highway to the dips.
Even if the health risks don't deter you, the social implications might. Double-dipping is often considered unsanitary and rude in many cultures. It can give the impression of poor manners or a lack of consideration for communal dining etiquette, potentially embarrassing you and making others around you uncomfortable.
Where a single-dip sandwich means only the top half of the sandwich bread is dipped in jus, a double-dip means that both the top and bottom halves of the bread are dipped.
Individual Servings: One effective way to eliminate double dipping is by providing individual servings of dips and sauces. This not only prevents the spread of germs but also allows guests to enjoy their food without worry.
While there is no fixed rule about the total length of a double-dip recession, the total combined time of a double-dip recession can be 23 or more months, as experienced in the double-dip recession of the 1980s. Note that those recessions were followed by periods of growth.
Bundled Services
When Medicare or another payer designates a service as “bundled,” it does not make separate payment for the pieces of the bundled service and does not permit you to bill the patient for it since the payer considers payment to already be included in payment for another service that it does cover.
For example, blepharoplasty of the upper eyelid (CPT code 15822) includes repair of the incision (CPT code 12011) as a standard of medical/surgical practice. Therefore, CPT code 12011 is bundled into CPT code 15822.
You may report modifier 59 if you perform 2 procedures in distinctly different 15-minute time blocks. For example, you may report modifier 59 if you perform 1 service during the initial 15 minutes of therapy and you perform the other service during the second 15 minutes of therapy.