Medication management performed by psychiatrists, psychiatric nurse practitioners and physician assistants is billed with Evaluation and Management codes. This could be any type of E/M service, a nursing facility service or home visit, but is most typically billed as an office/outpatient visit for an established patient, using codes 99212-99215. Members can download the medication management […]
Coding for Behavioral Health Services by Psychologists, Social Workers and Therapists
Looking for a coding resource for behavioral health therapists? It’s here. This video was recorded before CMS added Marriage and Family Therapists and Mental Health Counselors to enroll in Medicare. These professions aren’t noted but the are updated on the slide. Therapists use CPT® codes to describe what services they perform and ICD-10 codes to […]
Advance Care Planning | CPT® 99497, 99498
Advance Care Planning CPT® Codes Overview Medical practices perform countless tasks every day for which there is no payment. CMS continually states that it wants to support non-procedural and in the past decade has added payment for some non-face-to-face services, including Care Plan Oversight, Transitional Care Management and Chronic Care Management. CPT® Codes 99497 & […]
Diagnosis Coding | Not Just for Claims Anymore
Physician claims are paid based on the fee schedule associated with the CPT® or HCPCS code that is submitted. Diagnosis coding can be a reason for a denial. Physicians use CPT® or HCPCS codes to tell the payer what was done (colonoscopy, office visit) and modifiers to describe special circumstances (assistant at surgery, bilateral procedure.) […]
Risk Coding for Medical Practices and Outpatient Services
Introduction to Risk Coding for Medical Practices and Outpatient Services Recorded May, 2022 You can find CodingIntel’s 2023 webinar at this link: https://codingintel.com/hcc-coding-changes-webinar/ Where do we find the rules for assigning diagnosis codes in medical practices? The diagnosis codes don’t just get the claim paid, they also determine the patient’s risk score and the risk […]
How to Get Paid for Services in Medical Practices: Three Quick Videos for New Clinicians and Staff
An Overview of CPT® Codes, HCPCS, Diagnosis Codes & ICD-10-CM This three-part series from CodingIntel is a must see for new staff and physicians, and is a helpful review for everyone. Includes modules on How Physician Services are Paid, and the basics of CPT® codes, HCPCS, diagnosis codes and ICD-10-CM. Part 1 – How Physician […]
Can I Get Paid for…an Office Visit the Same Day as a Minor Procedure
Can you bill an E/M service on the same day as a minor procedure? Sometimes yes, sometimes no. The decision to perform a minor procedure is included in the payment for the procedure, unless a significant and separate E/M is needed, performed and documented. Watch this short video to learn more.
Can I Get Paid for…My Nurse Doing Ear Lavage
The nurse flushed the patient’s ear so I could examine the TM. Free or Fee? Find out more about billing for ear lavage done by nursing staff in this brief video. Back to list Relevant Search Terms: 69209, 69210, cerumen, removal, irrigation, ​
Can I Get Paid for…Emergency Services in the Office
The patient called for an urgent visit that disrupted your regularly scheduled office hours. Can you get paid at a higher level for providing emergency services in the office? Back to list Relevant Search Terms: 99050, 99058, 99059, add on, codes
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 services. Don’t do the work and forget to get paid. Find out more about getting paid to sign the home health certification form in this brief video from CodingIntel dedicated to home health […]
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? Back to list Relevant Search Terms: 99211, incident to, nurse visits
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. Back to list Relevant Search Terms: 99401,99404, immunizations, preventive medicine
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 assessed and managed. Whether the patient is receiving a preventive medicine service or a Medicare wellness visit, the decision is the same. Report both services when the practitioner […]
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 about billing for evaluation prior to surgery. See also modifier 57. Back to list Relevant Search Terms: modifier 57, global surgical package, global surgery
Coding for Screening Colonoscopy
Table of Contents An Overview of Colonoscopy Coding Guidelines Screening Age and Non-invasive Coverage Screening Colonoscopy for CRC What is the Difference Between a Screening Test and a Diagnostic Colonoscopy? Two Sets of Procedure Codes are Used for Screening Colonoscopy E/M Service Prior to a Screening Colonoscopy Screening Colonoscopy for Medicare Patients that becomes Diagnostic […]