Definition Nursing facility visits are Evaluation and Management services provided in a skilled nursing facility or a long term nursing … [Read more...]
Search Results for: face to face
Shared Visits – Medicare and CPT
Medicare has specific rules for billing for nurse practitioners and physician assistants using shared services. These rules are explained in this … [Read more...]
Clinical Staff Time
Question: I believe that I know the answer to this question but am hoping you know the source, as I can't find it—if a nurse helps with ROS, … [Read more...]
2023 CPT® E/M Changes
Ready to learn about the 2023 CPT® E/M changes? There is a significant update to the Evaluation and Management (E/M) section of the CPT® book. There … [Read more...]
Member Home
Welcome Whether you're here for the first time or the 50th, we're glad to see you. Current membership: My Account Quick … [Read more...]
Behavioral Health Coding Compliance
Once again, with feeling: coding for behavioral health It's been a year (seems like a minute) since the OIG released a report on coding for … [Read more...]
Should We Begin Using the New CPT Modifier -93
Question: Should we begin using the new CPT® modifier -93? Answer: I recommend a wait and see approach. Here’s the definition from the AMA, … [Read more...]
Coding and Reimbursement for Lactation Services
Questions about coverage and payment for breastfeeding and lactation counseling services come up regularly. And, payers change their policies. It is … [Read more...]
Physician Fee Schedule Final Rule for Calendar Year 2023
2024 conversion factor $32.7442 (updated 1/3/2024) 2023 conversion factor $33.8872 (updated 1/5/2023) CMS continues to state it doesn't have … [Read more...]
Best Practices in Revenue Cycle Management | Webinar
Best Practices in RCM: Strategies for a New Era in Healthcare Recorded October 21, 2021Â Medical practices face new risks and opportunities as … [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...]
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...]
Specialty resources
Coding for every specialty is different. For some specialties, you'll find the in-depth knowledge and specific coding information you need to … [Read more...]
E/M Services
For many practices, E/M services are what you do the most. Knowing what type of service to bill, what level of service and the rules related to the … [Read more...]
Care Management and Remote Monitoring
Technology advances and policy changes mean medical practices can now get paid for certain non-face-to-face services. But, you need to know how to … [Read more...]
Table of Contents
Table of Contents E/M services Articles in this section are up-to-date with CPT rules for 2023, including category of code and … [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...]
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...]
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...]