Everyone loves to read the general guidelines at the front of the ICD-10 book, right? No? Well, here’s an important excerpt. “Code all documented … [Read more...]
Articles
Spotlight on up-to-date coding
Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse | HCPCS Code G0442
The US Preventive Services Task Force (USPSTF) recommends screening for alcohol misuse and behavioral interventions for individuals whose screening … [Read more...]
Coding for Hernia Repair
CPT® revised the codes and concepts used for coding for hernia repair. These are significant changes for surgical procedures that are used very … [Read more...]
Principal Care Management (PCM) Services – CPT codes in 2022: 99426—99427
There are four principal care management codes 99424 and 99425 are for time spent by a physician or other qualified health care professional … [Read more...]
Chronic Care Management
• Medicare and private payers cover chronic care management services if a patient has two or more serious conditions that are expected to last at … [Read more...]
Transitional Care Management
This article provides answers to frequently asked questions related to transitional care management services. It includes details about billing for … [Read more...]
Critical Care Services
Definition: Caring for a critically ill or injured patient Explanation: Critical care has high relative value units and payments so it's … [Read more...]
Nursing Facility Visits
Definition Nursing facility visits are Evaluation and Management services provided in a skilled nursing facility or a long term nursing … [Read more...]
Coding for prolonged services: CPT and HCPCS codes
Common rules: Prolonged services codes are add-on codes to E/M services. In order to use prolonged care, the primary code must be selected … [Read more...]
Shared Visits – Medicare
Medicare has specific rules for billing for nurse practitioners and physician assistants using shared services. These rules are explained in this … [Read more...]
Outpatient Diabetes Self-Management Training (DSMT) Services
Diabetes self-management training (DSMT) services are a covered benefit under Medicare when all requirements are met. This article will provide an … [Read more...]
Coding for Medical Nutrition Therapy Services
Medical Nutrition Therapy Services (MNT) have been a covered benefit under Medicare since the early 2000’s. This article will describe the rules … [Read more...]
Coding and reimbursement for lactation services
Questions about coverage and payment for breastfeeding and lactation counseling services come up regularly. Is lactation counseling separately … [Read more...]
New vaccination codes for 2022
The 2022 CPT® book had some new vaccination codes and some vaccination codes that practices have been using in 2021. These include codes for the serum … [Read more...]
When to use time to select an E/M service
Selecting a code for an E/M service can be done based on time or MDM (except ED visits which only use MDM) Time includes all time spent by the … [Read more...]
Office visit code selection for medication management
At some visits, psychiatrists and psychiatric NPs and PAs provide only medication management, and at some visits, they manage prescriptions and … [Read more...]
HCC diagnosis coding example: diabetes, hypertension, chronic kidney disease
If a picture is worth 1000 words, what’s an example worth? An example can show in a glance what it takes paragraphs to write and explain. The one … [Read more...]
Defining problems using the E/M guidelines
The first element of MDM is the number and complexity of problems addressed CodingIntel’s members-only webinars on auditing E/M services include … [Read more...]
Essential documentation for medication management and psychotherapy
When providing both medication management and psychotherapy, practitioners need to document the time spent in psychotherapy and describe the therapy. … [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...]
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