EM Coding Alert
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 [...]
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 [...]
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 [...]
99213 or 99214?
Question: My ob-gyn documented the following:
Established patient CC: Vaginal Discharge HPI: Extended 4 [...]
Choose Between 3 ROS Levels
Question: Our providers are having trouble understanding what levels of ROS there are. Can you [...]
Check This Tip for Procedure-Day E/M
Question: Our physician saw a patient in the office and performed wound care. There was [...]
Flu-Shot-Only New Patients Pose Coding Challenges
Question: We are trying to decide how to handle new patients who want to come [...]
Place of Service Determines Code Selection
Question: A patient presented at our office with a bruise. Our pediatrician examined the patient [...]
Not All Follow-ups Are Created Equal
Question: We recently finished our first internal audit and found a potential issue: One of [...]
Diagnosis Matters for Routine Hip Replacement Visit
Question: Which diagnosis code should we report for a patient who comes in for a [...]
Modifier 25 Trumps 59
Question: Our payer is denying a claim involving an E/M and a fine needle aspiration (FNA) [...]