Tag Archive | "E/M"

Part 1: Prepare for CPT® 2020 for E/M and Surgery Codes

Monday, September 9, 2019

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The 2020 CPT® code set includes 394 code changes, with 248 new codes, 71 deletions, and 75 revisions, according to the AMA. Let’s start learning those changes by going over what’s new in Category I for E/M and Surgery section codes. Expect Remote and Online to Dominate E/M Changes You probably know there will be […]

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MPFS 2020 Proposed Rule: E/M Blended Payment for 2021 Is Dead

Monday, August 5, 2019

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Another day, another change to E/M plans for 2021! Medicare has released the 2020 proposed rule for the Medicare Physician Fee Schedule (MPFS), bringing in the recent AMA plan to revise E/M coding in 2021. But what does the MPFS say about Medicare payment for office/outpatient visits in 2021? Here’s the scoop. Know What to […]

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Get a Sneak Peek at CPT® 2020 Additions, Deletions, and Revisions

Tuesday, July 23, 2019

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With all the excitement about Medicare and AMA plans for E/M in 2021, don’t forget that the CPT® code set will have changes in 2020, too. The official code set will be out soon, but, in the meantime, here are some hints from the AMA about the changes you’ll have to know for Jan. 1. […]

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Modifier 25 Scavenger Hunt! Can You Find These Answers?

Tuesday, May 21, 2019

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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 […]

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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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