Coding office visit codes 99202-99215 in 2021Recorded June 12th, 2021 It's here, the first major changes for selecting an E/M service since 1997. … [Read more...]
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Implementing Prolonged Services Codes
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...]
Consultation Codes
First, CMS stopped recognizing consult codes in 2010. Outpatient consultations (99241—99245) and inpatient consultations (99251—99255) were still … [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...]
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, 2021Â The rules related to HCC coding in physician practices are found in the ICD-10 book … [Read more...]
Insights: Changes in Level of Service Using 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...]
FAQ: Scoring Elements in the E/M Guidelines
Scoring MDM elements can be challenging for E/M services This post includes questions related to: Major/Minor procedure Data Elements (with … [Read more...]
Billing for Joint 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...]
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...]
99072 – CPT® Code for Supplies, Equipment and Staff Time During the Public Health Emergency
The AMA released a CPT® code for use in non-facility settings for the expense related to supplies, equipment and staff time and activities for visits … [Read more...]
How Physician Services are Paid
Use the resources here to quickly educate new practitioners and staff about coding and reimbursement. You'll find explanations about code sets and … [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...]
Coding Telehealth Visits: Place of Service
Information in this article was updated July 2023, based on the 2024 Proposed Physician Fee Schedule Rule. Coding telehealth visits changes faster … [Read more...]
Care Management Services | Webinar
TCM, PCM, CCM: care management services Recorded June 25, 2020 Physicians are frustrated when they do work, not related to seeing a patient, and … [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...]
Specimen Collection For COVID-19
CMS’s 4/30/2020 rule states that practices could bill 99211 for new or established patients during the public health emergency for COVID-19 specimen … [Read more...]
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