For Medicare patients in observation, the consulting physician uses new and established patient visit codes. Only the admitting physician can use … [Read more...]
99072 – CPT® Code for Supplies, Equipment and Staff Time During the Public Health Emergency
The AMA released a CPT® code for use in non-facility settings for the expense related to supplies, equipment and staff time and activities for visits … [Read more...]
Can We Code TCM and 99214 Together?
Question: Can we code TCM and 99214 together? Answer: No, not if you mean on the same calendar date. On the day of the E/M service that is … [Read more...]
Medicare “Audio-Only” Telehealth Services
CMS issued multiple waivers and two interim final rules to support health care organizations and patients during the public health emergency in spring … [Read more...]
Coding Telehealth Visits: Place of Service
Information in this article was updated July 2023, based on the 2024 Proposed Physician Fee Schedule Rule. Coding telehealth visits changes faster … [Read more...]
Care Management Services | Webinar
TCM, PCM, CCM: care management services Recorded June 25, 2020 Physicians are frustrated when they do work, not related to seeing a patient, and … [Read more...]
Behavioral Health and Telemedicine During the PHE
In this post Overview of behavioral health services via telemedicine during the PHE Overview of behavioral health services after the PHE … [Read more...]
Is it or isn’t it a Telehealth Service?
Many payers and practices use the broad term telehealth to describe services that are not done face-to-face with a patient CMs describes telehealth … [Read more...]
Specimen Collection For COVID-19
CMS’s 4/30/2020 rule states that practices could bill 99211 for new or established patients during the public health emergency for COVID-19 specimen … [Read more...]
Medicare Changes Telehealth Rules, Again
Medicare changes telehealth rules, again: April 30, 2020 interim final rule with comment period … [Read more...]
Telemedicine in RHCs and FQHCs
In April, 2020Â CMS released guidance about paying for telehealth services in Rural Health Centers (RHCs) and Federally Qualified Health Centers … [Read more...]
Telecoding for Telemedicine
Some coders were already working from home either full time or a few days a week. Many practices and health care facilities implemented remote coding … [Read more...]
Why and When to Use Modifier CS
Question: Why and when should we use modifier CS? Answer: Use modifier CS on visits related to testing for COVID-19. Modifier CS: cost … [Read more...]
Modifier CS: Cost Sharing for COVID-19 Testing and Visits Related to Testing
Effective retroactively to 3/18/20, there is no cost sharing allowed for COVID-19 testing or for the evaluation visits related to the testing … [Read more...]
Payment for Telephone Calls During the PHE: CMS Rules for Phone Calls
CMS rules for phone calls has changed during the course of the pandemic. Prior to the public health emergency these had a status indicator of … [Read more...]
Telemedicine | Webinar
Telemedicine in the time of COVID-19 Recorded July 15th, 2020 The coding and reimbursement rules for telehealth changed fast in March. Congress … [Read more...]
APRN and PA Students and Medical Record Documentation
Question We have students from a nurse practitioner program rotate through our practice. Can we use their notes the same way as medical student … [Read more...]
Lesion Destruction Tip Sheet
Billing Preventive Medicine Services and Problem Visit | Quick Reference Sheet
This quick reference sheet provides guidance for billing preventive medicine services and split visits. When can you bill for both an office visit AND … [Read more...]
Medical Record Documentation | Webinar
Medical Record Documentation: CMS reducing the burden Recorded April 23, 2020 CMS wants to ease the burden of physician documentation of E/M … [Read more...]
CMS Update on Medical Record Documentation for E/M Services
The world as we knew it Both the 1995 and 1997 evaluation and management (E/M) documentation guidelines stated that ancillary staff could record a … [Read more...]
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