Pulmonology Coding Alert

Evaluation and Management:

Q&A: Support Your E/M Skills With 3 Fresh Facts

File that E/M claim regardless of inconclusive diagnosis -- but make sure you document everything.The level of evaluation and management (E/M) services provided during patient encounters for the pulmonology practice remains high. In fact, your physician's income could largely depend on the RVUs attached to the E/M codes. However, ample questions continue to surface about how to properly report these services.Put your E/M coding skills to the test by examining the following Q&A.Check Physicians' Matching Tax ID Before Billing 'New Patient'Question 1: My clinic consists of multiple-specialty groups of physicians, and lately we have had a case of rejection for new patient visit from Medicare when the patient is indeed a "new patient" for a practice. The pulmonologist performed 31720 (Catheter aspiration [separate procedure]; nasotracheal) on the patient. Before this encounter, a different physician from another practice saw this patient (for the same treatment). This is what Medicare cites as [...]
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

Pulmonology Coding Alert

View All

Which Codify by AAPC tool is right for you?

Call 844-334-2816 to speak with a Codify by AAPC specialist now.