Use the resources here to quickly educate new practitioners and staff about coding and reimbursement. You'll find explanations about code sets and compliance, about Medicare incident-to and shared services rules, and requirements for billing for services provided jointly between a resident and an attending.
Code sets and reimbursement
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- How Physician Services are Paid – Coding guide
- How Physician Services are Paid – Overview
- How Physician Services are Paid – Infographic
- How Fees are Set in the Medicare Fee Schedule
- Physician specialty codes and claims processing
- Facility versus Non-Facility in the Physician Fee Schedule
- Who is responsible for coding physician services? The medical provider or the coder?
- What is a Coverage Policy?
- Fee-for-service medicine | The rumors of my death have been greatly exaggerated!
- Diagnosis Coding | Not just for claims anymore
- Imaging guidance as part of a procedure
- Medicare National Coverage Determination (NCD) for Ambulatory Blood Pressure Monitoring (ABPM): CPT® and ICD-10 Coding
- Skin test for tuberculosis (PPD)
- My payer doesn’t follow CPT® rules. What am I to do?
- Two visits for the price of one? | Multiple medical visits on the same day
- NGS changing processing of same day NP/PA claims
- OB Coder Survey | Billing extra visits during pregnancy
Medicare incident-to and shared services
- Medicare Incident-to and Shared Services coding guide
- Incident To Services – Medicare
- Shared Visits – Medicare
- Non-physician practitioners in nursing facilities
- Incident to and change to medications
- Can we give a flu shot if the doctor isn’t in the office?
- Medicare Rules for Incident-to Billing and Shared Services | Webinar
Teaching physician rules
- Teaching Physician Rules Coding guide
- Teaching Physician Rules Quick Reference Guide
- Teaching Physician Rules – Evaluation and Management Services
- Teaching Physician Rules – Surgical procedures
- Teaching Physician – Primary Care Exception
- Teaching Physician Rules – Psychiatric Services
- Teaching physician rules – Bedside procedures
- Teaching Physician and Resident Specialty – Medicare Teaching Physician Rules
- APRN and PA students and medical record documentation
Compliance issues
- This practice paid Medicare $4.48 million
- 7 sure fire ways to owe the government $4 million in fines and repayments | Coding Compliance
- Risky business, or tempest in a teapot: Are you an audit target?
- 2018 CERT Analysis
- No Chart Left Behind: Deadline to Complete Medical Records
- Avoiding Unforced Errors While Using your EMR
- Billing physician services for hospice patients
- Billing physician services for hospice patients cheat sheet
- Wellness visits and care management in Rural Health Centers and Federally Qualified Health Centers (RHCs and FQHCs)
- CMS update on medical record documentation for E/M services
- Medical Record Documentation | Webinar
- Medicare Rules for Incident-to Billing and Shared Services | Webinar
Medical record documentation