Modifier 58 vs. Modifier 79; Coding from Fourth-Year Residents
Answers from our coding expert on questions regarding bronchoscopy; modifier 58 vs. modifier 79; and fourth-year residents.
Copy Referring Physicians; Billing a Follow-Up Visit
Our coding expert discusses copying the referring physician on consults; coding follow-up visits; and selecting medical complexity for high-toxicity meds.
Not Reflecting Medical Necessity; TCM/Home Visits; Split-Bill Encounters
Our coding expert discusses coding for medical necessity, TCM/home visits, using modifier 25 with the AWV, and split-bill encounters.
New Versus Established; Split/Shared E&M; 92060 Requirements
Answers from our coding expert on questions regarding new versus established patients; split/shared E&M; 92060 requirements; and same-day admit/discharge.
Low-Level MDM; Teaching Doc Requirements; Referral Confusion
Our coding expert discusses coding for low-level MDM; teaching physician requirements; referral confusion, and transitional care management.
Problem Focused Exam; Scribe Services
Our coding expert discusses coding for unspecified diagnosis at the time of encounter; a problem-focused exam; and scribe services.
Benchmarking Resources; 92225 vs. 92226
Answers from our coding expert on questions regarding benchmarking resources; 92225 vs. 92226; procedures in visit notes; and chronic care management.
Level 4 Documentation; RN Reimbursement
Answers from our coding expert on questions regarding Level 4 documentation and RN reimbursement.
Complex Care Coordination; Counseling Code Confusion
Answers from our coding expert on questions regarding discharge code requirements; complex care coordination; and counseling code confusion.
Who Can Perform the AWV; Coding for Urea Breath Tests
Answers from our coding expert on questions regarding the Medicare Annual Wellness Visit; urea breath tests; counseling time; and consultations.
Single Note for Admit/Discharge; Confusing HPI Elements
Q: When a patient has been admitted and discharged on the same day, can one note support a same day admit/discharge code?
Internal Audit Pass Rates; Nonphysician Credentialing
Our practice does internal chart reviews on our physicians for coding accuracy. What do you feel is an appropriate passing score?
Maximizing Reimbursement; New Practice, Old Patients
Get coding guidance on billing for a family medicine group; patients being seen at a new practice; and more.
Attending Telephone Consults, Advanced Practitioner Consults
Get coding guidance on resident consultation via telephone; discharging patients; antepartum care; and more.
Coding Questions: Resident Billing Without a Teaching Physician
Is there any "primary-care setting" where a resident may bill the office visit without a teaching physician, other than in the primary-care exception?
Documenting Psychotherapy; Pre-screening Visits; Appropriate Use of 99211
Q: I have a provider who documents an E&M service in his note and also states that he performed psychotherapy. How should we document the time component?
Cloning the Medical Record; Dilated Eye Exam; New Patient Requirements
Question: I've read a lot about cloning in the medical record. How worried do I need to be about my EHR?
In-Tandem E&M Service; Coding to the Bell Curve
Get coding guidance on group visits for asthma, review of care plans, coding for ventilation services, and more.
Resident Attestations; Infusion Services and Physician Supervision
Coding Questions? We've Got the Answers.
Merging E&M Guidelines; Screening Codes; Phone/Internet Consults
Coding questions? We've got the answers.
Primary-Care Exception and PAs; Preventive Exam and E&M
IUD Insertion; Established Visit; Coding for Vaccines
Transitional Care Codes; Group Patient Meetings; Copay Questions
Medicare Attestations and NPPs; Division of Payments; EHR Coding Mistakes
Refunding Copays; Defining Calendar Month; Proper Documentation
Recently Retired Codes; TCM Inappropriate and Appropriate
'Directed' Treatment; Defining Separate and Significant
Complexity and Comorbid Disorders; Improving 99213 Documentation
Get medical coding guidance on complexity and comorbid disorders; improving 99213 documentation; shave lesion codes; remote IV infusion and more.
Multiple Procedure Payment Reductions; Error with Code 764.95
Requests for Consult; Global Preventive Medicine Codes