Tag Archive | "E/M"

Tick-Tock: Understand Why Time Matters for E/M Coding

Monday, April 22, 2019

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For E/M, there has been a lot of attention on how the role of time will change in 2021. But what about right now? After this skill sharpener on time in the AMA CPT® E/M guidelines, you’ll have a better understanding of time’s current role in E/M coding. Where to Find AMA CPT® E/M Guidelines […]

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$325 Million in Office Visit Underpayments! How Much Is Yours?

Monday, April 8, 2019

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Audit discussions often focus on the fear of upcoding and having to hope that repaying the extra amount is the worst of the consequences. But downcoding is another problem area affecting your payments and more. Here’s why you should never purposely downcode your services. Start With a CERT Story Wondering about the $325 million in […]

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No More 99201? What’s Coming in 2021 for E/M

Thursday, April 4, 2019

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There’s been a lot of buzz about what Medicare has planned for E/M in 2021. One question all that raises is how it will mesh with AMA CPT® coding rules. Here are some hints from the February 2019 CPT® Editorial Summary of Panel Actions about what is in store for the code descriptors and guidelines. […]

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Primary Care and Specialists Need to Know These Twin Add-On Codes by 2021

Monday, January 28, 2019

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The 2019 MPFS proposed rule discussed potential add-on G codes to represent E/M visit complexity. Here’s a quick look at the intent of the proposed codes and what the final rule had to say about their implementation in 2021. See What Happens to This Code for Specialists In the 2019 Medicare Physician Fee Schedule (MPFS) […]

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Get the Latest on Changes to Medicare’s 2019 History Documentation Requirements

Thursday, December 20, 2018

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We’ve been talking a lot about the 2019 Medicare Physician Fee Schedule final rule, but when there are changes to E/M rules, there can never be enough information, right? CMS recently released a response to a question that arose during a provider call about what parts of history ancillary staff or the beneficiary can document […]

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3 Easy Steps to Finding the Right E/M Level Using an E/M Calculator

Thursday, November 15, 2018

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Have you checked out our free, new E/M Calculator yet? Using it is straightforward, but having a guide can be handy when a tool is new. Here’s how it works. 1. Access the E/M Calculator If you’re going to use a tool, the first step is to get to it! If you aren’t a subscriber […]

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Drum Roll: What Does MPFS 2019 Final Rule Say About E/M?

Monday, November 5, 2018

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Medicare released the CY 2019 Medicare Physician Fee Schedule (MPFS). One of the big questions from the proposed rule was whether E/M payment rules would change. Here are some highlights on what made it into the final rule for E/M and what didn’t. The News You’ve Been Waiting for … The proposal to combine payment […]

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Dive Deeper Into CPT® 2019 Updates With a Focus on Revised Descriptors

Friday, September 21, 2018

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You learned about CPT® 2019 additions in our overview series with Part 1, Part 2, and Part 3. But what about revisions? We covered some of those in relation to additions, but here are some more updates that may affect you when the changes are effective Jan. 1, 2019. (These are highlights, not a complete […]

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3 Helpful Hints for Better Subsequent Hospital Care E/M Coding

Tuesday, September 18, 2018

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Subsequent hospital care E/M codes 99231-99233 have some oddities that can trip you up if you don’t use these codes often (and even if you do). Improve your E/M coding accuracy by keeping these three pointers in mind. 1. Look for 2 of 3 With Interval History Option The descriptors for 99231, 99232, and 99233 […]

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Finish Your CPT® 2019 Overview With Lab to E/M: Part 3

Friday, September 14, 2018

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  We’re in the home stretch of our first look at CPT® 2019! Let’s finish strong. Here’s Part 3, the last post in our series on new five-digit Category I CPT® 2019 codes. Don’t forget: Part 1 covers FNA to cardiovascular surgery, and Part 2 covers lymph node biopsy to breast MRI. This is just […]

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