The patient called for an urgent visit that disrupted your regularly scheduled office hours. Can you get paid at a higher level for providing … [Read more...]
Can I get paid for…signing the home health certification form
An Overview of Home Health Certification CPT® CMS pays a small fee for the planning, certification, supervision and re-certification of home health … [Read more...]
Can I get paid for…care and transfer of sick newborn
Coding. Why does it keep changing? The post you are looking for was out of date, and we removed it. For the most up-to-date information about … [Read more...]
Can I get paid for…nurse visits
Nurse visits - when can you bill for them, and when are the services of the nurse just part of the cost of doing business? Download … [Read more...]
Can I get paid for…phone calls
Coding. Why does it keep changing? The post you are looking for was out of date, and we removed it. You might find these articles about … [Read more...]
Can I get paid for…travel counseling
So your patient is going to the Galapagos, and wants your advice. Can you get paid for travel counseling? This short video has the answer. Download … [Read more...]
Can I get paid for…student services
Coding. Why does it keep changing? The post you are looking for was out of date, and we removed it. You can find a complete list of teaching … [Read more...]
Can I get paid for…a problem oriented visit and wellness visit on the same day
Patients who come into the office for a physical or wellness visit often have a problem they want to discuss, or chronic conditions that need to be … [Read more...]
Can I get paid for…evaluation prior to surgery
The surgeon evaluates a patient, and determines that surgery is needed. Can the surgeon get paid for this initial service? Watch this short video … [Read more...]
Screening for Other Sexually Transmitted Illnesses (STI)
This article covers CPT® and diagnosis codes used for screening for other sexually transmitted illnesses. It includes descriptions and screening … [Read more...]
High Intensity Behavioral Counseling to Prevent Sexually Transmitted Illnesses (STI)
CMS covers counseling to prevent STI in certain circumstances. The code is G0445. G0445 – Semiannual high intensity behavioral counseling to … [Read more...]
Can I get paid to…discuss end of life planning with a patient’s child
In 2016, CMS began paying for physicians, NPs and PAs to have a discussion about end of life planning with patients. Find out more in this short … [Read more...]
Can’t I Bill TCM for all Discharged Patients? Rules and Comments
An Overview of Transitional Care Management for Discharge “I can bill all discharges with Transitional Care Management codes. They’re all moderate … [Read more...]
Non Face-to-Face Prolonged Service – 99358
This post includes: CPT® rules for prolonged care non face-to-face Using-99358-for-phone-calls Codes 99358 and 99359 are used for … [Read more...]
End Confusion About Modifier 57 (and get paid for initial evaluations)
Use modifier -57 at the visit for the decision for surgery, when surgery is scheduled for that day or the next calendar day A surgeon should always … [Read more...]
Performing services that increase primary care revenue
CMS states it wants to increase pay to primary care physicians. And while we might quarrel with their strategies or with the speed of achieving the … [Read more...]
Overview of advance care planning
Advance Care Planning CPT® Codes Overview Medical practices perform countless tasks every day for which there is no payment. CMS continually states … [Read more...]
Chronic Care Management: Benefit Update
Coding. Why does is keep changing? This post was out of date and has been removed. For information about chronic care management and other care … [Read more...]
Pecked by a parrot. Oh no, not again!
When we first implemented ICD-10, we all had a lot of fun with the ICD-10-CM external cause codes. But, do we need to use them? The answer to that … [Read more...]
Prescription drug management and medical decision making (MDM)
Whether selecting a level of service for an E/M encounter, the question arises about what counts as prescription drug management. In both sets of … [Read more...]
Skype ≠Telemedicine
I got a call from a vendor trying to develop a video conferencing product for a physician to use to talk to a patient who is at home. He said “I’m … [Read more...]