Advanced Search

EM Coding Alert

Reader Questions:

Ask Your Payer if They Use the 4 x 4 Rule

Published on Mon Mar 23, 2015

You’ve reached your limit of free articles. Already a subscriber? Log in.

Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:

Simple explanations of current healthcare regulations and payer programs
Real-world reporting scenarios solved by our expert coders
Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
Instant access to every article ever published in Revenue Cycle Insider
6 annual AAPC-approved CEUs
The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more

Other Articles in this issue of

EM Coding Alert

Case Study:
Improve Your Prolonged Service Coding by Reviewing 3 Coding Examples
Precise reasons in the note for extra time spent on a service are key to getting [...]

ICD-10:
Be Ready for 2 GERD K Codes in October
Rely on the note to get information you need to choose either K21.0 or K21.9.Rely [...]

Emergency Codes:
Report More Than 1 ED E/M Code to Pay Multiple Professionals
Don’t try to get paid for a nurse’s work in the ED when the patient [...]

CPT® 2015:
Adopt New Advance Care Codes for End of Life Discussions
CMS isn’t paying for these services this year, but maybe your payer has a payment [...]

Reader Questions:
Ask Your Payer if They Use the 4 x 4 Rule
Question: I have heard of the 4 x 4 rule, but I don’t understand what [...]

Reader Question:
Save 99318 for Annual Assessments
Question:Our physician met a patient in a nursing facility in March and then saw the [...]

Reader Question:
Don't Report a 99499 Without an E/M
Question: Can I use 99499 to report writing a prescription? Rhode Island Subscriber Answer: No, you [...]

Reader Question:
Think Again When Reporting Same Date Admission and 99217
Question: A 69-year-old male patient came into our office this week with a mild acute episode [...]

Reader Question:
Couple the HPV Vaccine with 99402
Question: An established patient came into our ob-gyn office wanting to talk about whether she should [...]

Reader Question:
Check for Another F2F in Past 3 Years
Question: We’ve been getting a denial for new patient code 99204. The only service the physician [...]

You Be the Coder:
Prepare for Denial When 2 Physicians Claim Consult on Same Day
Question: We are a large group with all the physicians billing under the same tax [...]

View All