Tag Archive | "E/M"
Dive Deeper Into CPT® 2019 Updates With a Focus on Revised Descriptors
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 […]
Continue reading...3 Helpful Hints for Better Subsequent Hospital Care E/M Coding
Tuesday, September 18, 2018
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 […]
Continue reading...Finish Your CPT® 2019 Overview With Lab to E/M: Part 3
Friday, September 14, 2018
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 […]
Continue reading...Hot Topic: Get the Scoop on Proposed MPFS 2019 Changes to E/M Coding and Payment
Friday, August 3, 2018
The 2019 proposed Medicare Physician Fee Schedule (MPFS) includes some major potential changes to E/M coding and payment in its 665 pages. Major. Here are the highlights. Just remember that what’s below is proposed and may change before the final rule is implemented. Here’s the Big Payment News About Levels 2-5 Let’s get right to […]
Continue reading...Get 1 Step Closer to 99285 Perfection With This HPI Primer
Thursday, April 26, 2018
Emergency medicine code 99285 seems to be popping up a lot lately because of potential overuse. To help give you your best chance at coding correctly, it helps to take a close look at each element involved. Today, let’s look at the history of present illness (HPI) requirement. The good news is that most of […]
Continue reading...Emergency Medicine Coders: Don’t Miss These 3 Trending Areas!
Wednesday, March 28, 2018
There have been some hot topics in recent issues of TCI’s Emergency Department Coding & Reimbursement Alert that are just too good not to share. Here’s a quick summary with links to the articles for you lucky readers with access to the online newsletter or to Emergency Medicine Coder. 1. Streamline With This Change to […]
Continue reading...Knock Out 99285 Confusion Now – This ED Code Is Getting Noticed
Friday, February 16, 2018
The highest level emergency department code, 99285, is popular. A comparative billing report (CBR) by eGlobalTech recently showed the national percentage of emergency department services submitted with 99285 was 55 percent. And when the highest level E/M code in a group is getting that much use, you know there’s going to be some scrutiny. Here’s […]
Continue reading...$36.2 Billion in Improper Payments Means CMS Will Watch These Areas
Monday, February 5, 2018
A 90.5 percent accuracy rate for Medicare Fee-for-Service (FFS) payments may not sound too bad, but consider that the 9.5 percent improper payment rate adds up to $36.2 billion! That’s the news from the 2017 Medicare Fee-for-Service Supplemental Improper Payment Data report based on Comprehensive Error Rate Testing (CERT). Smart move: Reviewing CERT results can […]
Continue reading...Can’t-Miss Corrections to CPT® 2018 Available Now!
Monday, December 4, 2017
Time to bring out the red pen and take your CPT® 2018 preparations to the next level! Every detail counts in coding, and that means that after you’ve taken a look at the initial announcements about code changes, you need to dig deeper to make sure you’re aware of corrections, too. The AMA released several […]
Continue reading...5 Fast Facts About 1 Payer’s 50 Percent Fee Reduction for Modifier 25
Monday, November 6, 2017
A payer’s big modifier 25 payment reduction has been getting a lot of attention, both from providers affected and those concerned other payers will adopt the policy. Don’t miss this overview of what the policy is all about. 1. Which Payer Implemented the Policy? Independence Blue Cross, which primarily serves Philadelphia and southeastern Pennsylvania, updated […]
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Friday, September 21, 2018
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