April 30th 2021
2021 has brought about the most extensive changes to CMS’s Evaluation and Management (E&M) guidelines since 1997.
January 12th 2021
Extensive revisions aim to prioritize patient care information, resource-based reimbursement, and lessening the need for audits.
August 24th 2020
Why practices should not fear new coding requirements
February 3rd 2020
CMS rules to simplify E/M coding and reemphasize patient narrative.
January 15th 2020
Practices are using E&M codes to bill for non-physician educational visits, but is this ok?
Cloned Notes
The Office of Inspector General included "identical notes" as an area of interest in its 2011 Work Plan. Make sure your patient notes reflect each unique encounter.
Primary Care Exception
This doc wants to know how to bill inpatient services using the primary-care exception rule.
Physician Presence Matters in Outpatient Setting
Can this physician bill for monitoring OB patients in the outpatient setting if he is physically not present?
Medical Consult - Dead or Alive?
Can you still use the consult code for Medicare and private payers?
Getting Paid for Pulse Ox
This physicians wonders why he doesn't get paid for performing a pulse ox.
E&M Guideline Updates
The 1995 and 1997 CMS guidelines for E&M services are still topical.
Mixing Exam Types?
Can this provider choose elements from both a multisystem and single organ system exam?
Coding: Billing for locum tenens; ICD-10; CMS guidelines
In this issue, a question that asks how many new codes are in the ICD-10 code set.
E&M Coding Worksheet
This Excel worksheet, provided by Lighthouse MD, is meant to expedite E&M coding.
Documentation Template - Inpatient
Use this sample template for guidelines on documenting inpatient visits. Provided by Hill & Associates.
IPPE Basics
A quick overview of the Initial Preventive Physical Examination (IPPE),a new Medicare benefit effective 1-1-05. Understand the components and how to bill for the exam.
Modifier Manual
Plain language advice on using common modifiers in your medical coding.
Documentation Template - Established Patient
Use this sample template for guidelines on documenting established patient visits. Provided by Hill & Associates.
Coder in Residence
The benefit of having your own in-house billing department is that they are well-versed in billing procedures for your practice and specialty.
Solving Your 9 Biggest Billing Blunders
Coding is hard. It’s tedious. Yet it is how you get paid for the services you perform. So we asked the experts where things go wrong most of the time - and how to fix them.
Climbing Out of the 99213 Rut
Here's how to properly use E&M code 99213, including when other CPT options might be more appropriate with patients at your medical practice.
Coding Questions?
Get answers on coding for Incomplete procedures; film review; figuring out medicare denials; coding for workers' compensation forms, and more.
Coding a Screening Colonoscopy
Here's how to code an encounter when a patient is referred to your office for a screening colonoscopy and she is asymptomatic.