Question: I understand from your article about prolonged services in 2021 that CMS won’t pay for prolonged code 99417 and instead developed a HCPCS … [Read more...]
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Prolonged services for 99202–99215: 99417, G2212
The AMA developed CPT® code 99417 for 15 minutes of prolonged care, done on the same day as office/outpatient codes 99205 and 99215. Medicare has … [Read more...]
2021 Consultation Codes Update
CMS stopped recognizing consult codes in 2010. Outpatient consultations (99241—99245) and inpatient consultations (99251—99255) are still active CPT® … [Read more...]
Code Prolonged Services with Confidence | Webinar
Recorded June 21st, 2021 2021 brings a new CPT prolonged services codes for use only with 99205 and 99215 and changes the rules for face-to-face … [Read more...]
New! 2021 office visit code selection for medication management
The guidelines for selecting office visit codes changed in January, reducing the documentation burden on practitioners. Psychiatrists and psychiatric … [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...]
How medical practice services are paid | Webinar
How medical practice services are paid Recorded May 20, 2021 “Who makes up these rules, anyway?” If you’ve ever asked that question, or been asked … [Read more...]
HCC Coding for Medical Practices | Webinar
HCC Coding for Medical Practices Recorded April 15, 2021 The rules related to HCC coding in physician practices are found in the ICD-10 book … [Read more...]
Chronic Care Management
• Medicare covers chronic care management services if a patient has two or more serious conditions that are expected to last at least a year. • … [Read more...]
Insights: Changes in level of service using 2021 office visit guidelines
The American Medical Association (AMA) changed the definitions for codes 99202–99215, effective 1/1/2021 Medical practices are struggling to … [Read more...]
2021 Reimbursement: What Your Practice Needs to Know | Webinar
Recorded February 18, 2021 This webinar was presented by special guest Elizabeth Woodcock. Learn more about Elizabeth here. 2020 was clearly one … [Read more...]
FAQ: Scoring the elements in the new E/M guidelines for 2021
Scoring elements can be challenging with the new E/M guidelines for 2021. This article is updated based on the 5/25/2021 AMA webinar, given by … [Read more...]
Billing for injections | Reference Sheet
When doing a joint injection, sometimes a separate E/M service is billed on the same day, and sometimes, it's not. This grid will help you determine … [Read more...]
Coding for Behavioral Health Services | Webinar
Behavioral Health Coding with 2021 E/M Changes Recorded December 17, 2020 This webinar describes CPT coding for behavioral health services, … [Read more...]
History
Lesson one of E/M auditing covers medical necessity and cloning, and all things history. Hear about who can document the HPI, ROS and PFSH and what … [Read more...]
Number and complexity of problems addressed
Some parts of the first element of MDM, the number and complexity of problems addressed, will seem very familiar. But, there are key differences from … [Read more...]
Amount and/or complexity of Data to be Reviewed and Analyzed
The second element of MDM, the amount and/or complexity of data is probably the hardest of the three. This lesson will break down each definition and … [Read more...]
Overview of E/M changes
This lesson is hardworking. It has an overview of how we got here and why, and describes the new rules for using time to select a code, and the new … [Read more...]
History
Lesson one of E/M auditing covers medical necessity and cloning, and all things history. Hear about who can document the HPI, ROS and PFSH and what … [Read more...]
E/M for Surgical Practices
Please note: This course is based on 2020 guidelines. Please see "2021 Office Visit Insights" for the latest information about 2021 guidelines. An … [Read more...]
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