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...]
Search Results for: medical decision making
CPT® Codes (99421-99423) – and Payment for – Online Digital Evaluation and Management (E/M) Services
Or, as I call them: message, manage, message. There are CPT codes for online digital E/M services. CPT developed a set of CPT® codes for use … [Read more...]
CMS Adopts HCPCS Codes for Community Health Integration (CHI) Services
This is information from the 2024 Physician Fee Schedule Final Rule https://public-inspection.federalregister.gov/2023-14624.pdf The effective … [Read more...]
A Conversation with Two Auditors: Lessons Learned about MDM | Webinar
A Conversation with Two Auditors: Lessons Learned about MDM Recorded September 28, 2023 Medical practices can prepare for audits, improve … [Read more...]
CMS Finalizing Principal Illness Navigation (PIN) Services
This is information from the 2024 Physician Fee Schedule Final Rule https://public-inspection.federalregister.gov/2023-24184.pdf CMS developed … [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...]
Coding Hospitalist Services | Webinar
Coding for initial hospital services: examples for hospitalists Recorded November 17, 2022 Be ready for the changes to the 2023 E/M code set for … [Read more...]
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Become a Coding Authority Citation-based coding resources for medical practices. We are here for you. 01Find in-depth coding … [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...]
Remote Therapeutic Monitoring
There are five remote therapeutic monitoring codes in the general medicine section of CPT® which may be performed by physicians, PAs and NPs and other … [Read more...]
Coding Guide – E/M Services
This coding guide will describe the guidelines for evaluation and management (E/M) services reported in the office or outpatient department, … [Read more...]
E/M Services – History and Exam
History and exam for E/M services “E/M Codes that have levels of services include a medically appropriate history and/or physical examination when … [Read more...]
Remote Physiologic Monitoring Treatment Management Services
This is an overview of coding for Digitally Stored Data Services/Remote Physiologic Monitoring in the E/M section of the CPT book. There are more … [Read more...]
Are Changes Coming to the E/M Documentation Guidelines?
Do you remember that CMS is talking about changing the documentation requirements for E/M services? If it slipped your mind in the course of your … [Read more...]
Let’s Go to the Source! Should this Visit be Downcoded?
This article describes the use of time using the 1995/1997 guidelines. Be sure to read about the 2021 guidelines for codes 99202--99215. A … [Read more...]
Critical Care for General Surgery and Trauma Surgeons
Critical care provided as a stand alone service is based on the seriousness of the patient, the types of interventions, and time. Critical care … [Read more...]
Frequently Asked Questions
About CodingIntel Memberships Account Support Payments & … [Read more...]
Performing Services that Increase Primary Care Revenue
CMS states it wants to increase pay to primary care physicians. And while we might quarrel with their strategies or with the speed of achieving the … [Read more...]