EM Coding Alert
Payer Focus:
Watch Out for 2 E/M Error Hotspots CMS Uncovered
Published on Tue Nov 19, 2013
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Other Articles in this issue of
EM Coding Alert
- Specialty Focus -- Ob-gyn:
Knowing Your Payer is the Key to Unlocking Annual Physical + Pap Services
Tip: Not all payers follow the CPT® manual guidelines. When your physician — whether an [...] - Payer Focus:
Watch Out for 2 E/M Error Hotspots CMS Uncovered
Shine a light on your inpatient and allergy claims first. Even if your practice reports [...] - News You Can Use:
CERT Results Show E/M Errors Top the Problem List
CMS finds 14.0 percent improper E/M payment rate. If your practice’s collections rate was off [...] - You Be the Coder:
99213 or 99214?
Question: My ob-gyn documented the following:
Established patient CC: Vaginal Discharge HPI: Extended 4 [...] - Reader Question:
Choose Between 3 ROS Levels
Question: Our providers are having trouble understanding what levels of ROS there are. Can you [...] - Reader Question:
Check This Tip for Procedure-Day E/M
Question: Our physician saw a patient in the office and performed wound care. There was [...] - Reader Question:
Flu-Shot-Only New Patients Pose Coding Challenges
Question: We are trying to decide how to handle new patients who want to come [...] - Reader Question:
Place of Service Determines Code Selection
Question: A patient presented at our office with a bruise. Our pediatrician examined the patient [...] - Reader Question:
Not All Follow-ups Are Created Equal
Question: We recently finished our first internal audit and found a potential issue: One of [...] - Reader Question:
Diagnosis Matters for Routine Hip Replacement Visit
Question: Which diagnosis code should we report for a patient who comes in for a [...] - Reader Question:
Modifier 25 Trumps 59
Question: Our payer is denying a claim involving an E/M and a fine needle aspiration (FNA) [...]
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