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E/M Coding & Reimbursement Alert
E/M Coding & Reimbursement Alert
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E/M Coding & Reimbursement Alert - 2024; Volume 12, Number 7
Guidelines:
Bolster Your Distinct Time Billing Knowledge
Remember to bill with only one provider's number. Billing for split or shared services b...
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Best Practices:
Overcome 2023 E/M Update Challenges with Expert Advice
Get tips on how and when to query. For many coders, the evaluation and management (E/M) c...
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Specialty Spotlight:
Test Your Knowledge of Pregnant Patient Annual Exams
Be cautious about what you use for your primary diagnosis. To ethically maximize your ob...
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You Be the Coder:
Does This Case Call for E/M and Immunotherapy Codes?
Question: A patient comes to the office for his allergy shot. He complains of an ear...
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Reader Questions:
Make Friends With ‘Buddy Taping’ Code
Question: If the ED physician wraps tape around an injured toe and an adjoining one ...
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Reader Questions:
Count Provider Minutes When Performing Phone Visits
Question: A provider had a telephone visit with a patient to refill prescriptions for...
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Reader Questions:
Rely on MDM Versus Time for This Fracture Encounter
Question: My physician's notes indicate that they performed an office evaluation and ...
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E/M Coding & Reimbursement Alert - 2024; Volume 12, Number 6
Back to Basics:
Code These 4 Things to Bill 99211 Correctly
And learn these three reasons for not reporting it. When one of your clinical staff membe...
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Clip and Save:
Answer the How, What, When, and Why for Preoperative Evaluations
Don't forget to check for comorbid conditions. Knowing how to navigate and select all of ...
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Condition Focus:
Breeze Through Spring with Denial-Proof Allergy Coding
Debunk these three myths to sail through allergy diagnosis codes. With allergy season i...
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You Be the Coder:
Go Par for the Golfer’s Elbow Dx Course
Question: Encounter notes that a patient reports to the orthopedist with complaints of pai...
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Reader Questions:
Determine Your Dx After Cancer Surgery
Question: When can we bill a visit after a surgery for cancer? My colleague says that...
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Reader Questions:
Identify a COPD Exacerbation Dx With PFT
Question: A patient presented with chronic cough, wheezing, and difficulty breathing....
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Reader Questions:
Phone in This E/M Encounter
Question: A patient presented to the office for a follow-up appointment. When the pat...
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E/M Coding & Reimbursement Alert - 2024; Volume 12, Number 5
Procedure Focus:
Use These 6 Tips to Code Hearing Tests Successfully
Start by knowing what's included in an E/M visit. If your practice includes an audiologi...
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Coding Quiz:
Evaluate Your E/M and Spirometry Procedure Coding Knowledge
Find out if your coding skills are on point. As a pulmonology coder, evaluation and man...
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Specialty Spotlight:
Take a Second Look at MDM Table
Does data factor into this ED E/M claim? Given the recent and extensive changes to the ev...
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Coding Quiz Answers:
Check Your E/M and Spirometry Coding Answers
Find out what a ‘B' status means in the MPFS. Check to see if your answers from the que...
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You Be the Coder:
Keep CPR, E/M Separate
Question: Can I report an emergency department (ED) evaluation and management (E/M) c...
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Reader Questions:
Know When Procedures Don’t Get Procedure Codes
Question: One of my providers recently removed an ear piercing, and he documented tha...
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Reader Questions:
Check Whether QHP Performed Pump Refill
Question: If a patient has an implantable pump in their spine that the provider refil...
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Reader Questions:
Know How to Navigate CPO
Question: We have a patient who is eligible for home care, and our gastroenterologist...
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E/M Coding & Reimbursement Alert - 2024; Volume 12, Number 4
Telehealth:
Use These Tips to Find More Efficacy With Telehealth
Plus: Save this chart for future reference. There's no denying that telehealth improves a...
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Leveling:
Consider This Leveling Advice for MDM
Evaluate all available information when determining risk. Assessing murky situations to d...
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Specialty Focus:
Check Your Toe Injury Coding Knowledge
Distinguish between new and existing patients to assign the appropriate E/M code. Injurie...
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You Be the Coder:
Count on Location for Rib Fracture X-Ray Views
Question: After a level 4 office evaluation and management (E/M) service for an esta...
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Reader Questions:
Focus on Treatment Goals to Evaluate Condition Stability
Question: A patient with chronic pain presents for an evaluation and management (E/M)...
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Reader Questions:
Pay Attention to Diagnosis Specificity to Level E/M
Question: Does an undiagnosed new problem with uncertain diagnosis automatically mean...
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Reader Questions:
Rely on MDM Versus Time for This Fracture Encounter
Question: My physician's notes indicate that they performed an office evaluation and...
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E/M Coding & Reimbursement Alert - 2024; Volume 12, Number 3
Coding Deep Dive:
Answer the How, What, When, and Why for Pre-Operative Evaluations
Don't forget to check for comorbid conditions. Knowing how to navigate and select all of ...
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FAQ:
Seek Clarity on New Pelvic Exam Code
Find out which Medicare codes aren't compatible. Many coders may not feel confident about...
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Specialty Focus:
Find Security in Coding Vertebral Fractures
Hint: Consider E/M code to report the decision-making process. Coders who report surgery...
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You Be the Coder:
Note E/M Exception in Debridement Procedure
Question: I have a provider who uses an operating microscope to debride the ear canal of â...
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Reader Questions:
Don’t Mistake These Procedures for E/M Services
Question: I noticed that the physicians at the practice I just started working at tend to...
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Reader Questions:
Remember This Modifier 25 Tip
Question: Should I always append modifier 25 for a minor procedure with an evaluation and ...
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Reader Questions:
Understand Neonate-Specific Coding Conventions
Question: Our hospital physician provided a neonate with critical care throughout the firs...
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E/M Coding & Reimbursement Alert - 2024; Volume 12, Number 2
Inpatient Coding:
Check In on Revisions Pertaining to Hospital Care
Review the newish codes and make sure you're doing things correctly. Coders responsible ...
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Procedure Focus:
Explore Options for Reporting Osteotomy
Check how the decision for surgery was made. Coders responsible for reporting osteotomy ...
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Knowledge Check:
Find Clarity Amidst MDM Coding Confusion
Hint: Look to MACs for guideline help. The gray areas inherent to medical decision maki...
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You Be the Coder:
Explore Cerebellar Abscess Diagnostic Process
Question: Notes indicate that the surgeon performed a level 4 office evaluation and m...
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Reader Questions:
Beware Addition of Urinalysis Code to E/M
Question: For all lab tests performed in the office, our nurse researches the history...
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Reader Questions:
Find CPAP Management Amidst E/M Bundle
Question: I'm new to pulmonology coding, and I have an encounter note for a recent ev...
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Reader Questions:
Find Synonyms for Myofibrositis
Question: Encounter notes indicate that a physician provided an office evaluation and...
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E/M Coding & Reimbursement Alert - 2024; Volume 12, Number 1
Procedure Deep Dive:
Clean Up Your Vasectomy Coding Claims
Use these coding hints to snip through any confusion. Coders working with urologists or ...
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Specialty Spotlight:
Code Pessary Encounters Confidently
Hint: You may be able to report multiple E/M services in some situations. Coding pessary ...
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Expert Opinion:
Find Out How Emergency Departments Might Fare With MPFS in 2024
Enjoy some long-awaited clarity on split/shared services. In 2024, the stars will align a...
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You Be the Coder:
Find Solution for Nursemaid Elbow
Question: A 8-year-old boy presented with a dislocated right elbow. After examination...
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Reader Question:
Understand When Telehealth Can Replace a Face-to-Face Visit
Question: My provider wants to bill 99350 when performing a home visit via telehealth...
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Reader Question:
Don’t Forget Alternate Terms for MS
Question: Encounter notes indicate that the provider treated a new patient with multi...
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Reader Question:
Decipher Cancer Care Follow-Up Details
Question: I have two questions regarding follow-up appointments for the prostate pat...
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