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...]
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The Third Element of MDM: Risk of Complications
The third element of MDM: risk of complications and/or morbidity or mortality of patient management at the encounter Coding for E/M services … [Read more...]
The First Element of MDM: Number and Complexity of Problems Addressed
E/M elements for MDM There are three elements in medical decision-making and this article describes the first of three When selecting a level … [Read more...]
The Second Element of MDM: Amount and/or Complexity of Data
There are three elements in medical decision-making and this article describes the second, arguably, the most complex of the three elements When … [Read more...]
Consultation Codes
First, CMS stopped recognizing consult codes in 2010. Outpatient consultations (99241—99245) and inpatient consultations (99251—99255) were still … [Read more...]
Critical Care Services
Definition and Explanation of Critical Care Service Definition: Caring for a critically ill or injured patient Explanation: Critical care … [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...]
OIG Report on Telehealth During the PHE
What? An OIG report without doom and gloom? Fire and brimstone? https://youtu.be/EPJHOABNNxM Slides In February, 2024 the OIG released an … [Read more...]
Psychiatric Collaborative Care Management Services
Psychiatric Collaborative Care Management Services 99492, 99493, 99494 Care Management for Behavioral Health 99484 PCCM quick reference … [Read more...]
2024 Reimbursement Reality | Webinar
Reimbursement Reality 2024 Recorded January 18th, 2024 This webinar was presented by special guest Elizabeth Woodcock. Learn more about Elizabeth … [Read more...]
HCPCS Code G0136 for Assessment Social Determinants of Health (SDoH)
This is information from the 2024 Physician Fee Schedule Final Rule, released Nov. 2, 2023. New CPT and HCPCS codes, and CMS policy changes are … [Read more...]
CMS Adopts Codes for Caregiver Training Services (CTS)
This is information from the 2024 Physician Fee Schedule Final Rule, published Nov. 2, 2023. You can read it for yourself by downloading the pdf … [Read more...]
Coding for Telehealth
The Future of Telehealth and Virtual Care Valerie Rock, CHC®, CPC® – Principal, Healthcare Consulting Katie M. Baker, MSHA, CPhT – Manager, … [Read more...]
What’s New in the Proposed Physician Fee Schedule Rule
Proposed Physician Fee Schedule Rule, 2024 CMS issued the Proposed Physician Fee Schedule (PFS) Rule July 13, 2023, with a 60-day comment period. … [Read more...]
Coding for Hospital Services | Webinar
Coding for hospital services Recorded April 20, 2023 First, CPT® updated their E/M code set. Then, CMS interpreted the updates and applied … [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...]
2023 E/M Guidelines for Hospital, Nursing Facility, Home and Residence Services | Webinar
2023 E/M guidelines for hospital, nursing facility, home and residence services Recorded September 22, 2022 As expected, the AMA has revised the … [Read more...]
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