Tag Archive | "E/M"
Modifier 25 Scavenger Hunt! Can You Find These Answers?
Keeping up with modifier 25 rules can be intimidating, so let’s add a little fun by seeing if you can unearth the answers to these questions at the locations provided. Ready, set, go! 1. Is This a Separate E/M? You may have the descriptor memorized for modifier 25 (Significant, separately identifiable evaluation and management service […]
Continue reading...Tick-Tock: Understand Why Time Matters for E/M Coding
Monday, April 22, 2019
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 […]
Continue reading...$325 Million in Office Visit Underpayments! How Much Is Yours?
Monday, April 8, 2019
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 […]
Continue reading...No More 99201? What’s Coming in 2021 for E/M
Thursday, April 4, 2019
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. […]
Continue reading...Primary Care and Specialists Need to Know These Twin Add-On Codes by 2021
Monday, January 28, 2019
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) […]
Continue reading...Get the Latest on Changes to Medicare’s 2019 History Documentation Requirements
Thursday, December 20, 2018
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 […]
Continue reading...3 Easy Steps to Finding the Right E/M Level Using an E/M Calculator
Thursday, November 15, 2018
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 […]
Continue reading...Drum Roll: What Does MPFS 2019 Final Rule Say About E/M?
Monday, November 5, 2018
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 […]
Continue reading...Dive Deeper Into CPT® 2019 Updates With a Focus on Revised Descriptors
Friday, September 21, 2018
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 […]
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Tuesday, May 21, 2019
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