Question: Can we start using the new E/M rules for new and established patient visits in January? And, are all payers going to follow … [Read more...]
New versus established patient visits
There are other articles on CodingIntel about the difference between new and established patients, and the rules haven’t changed, but that doesn’t … [Read more...]
Re-admission to nursing facility
Question: If a patient is re-admitted to a nursing facility after an inpatient stay, should we bill an initial nursing facility visit or a … [Read more...]
Coding inpatient pediatric services | Webinar
Recorded May 23, 2019 Pediatricians and family physicians who care for newborn and older children in an inpatient setting need to select the … [Read more...]
Initial hospital service codes and established patients
Question: We are having a disagreement in our coding department. Our cardiologist sees an inpatient at the hospital, but it’s a patient she knows … [Read more...]
Coding Hospitalist Services | Webinar
Recorded March 21, 2019 CMS recognized hospitalists as their specialty in 2017, long after they were a mainstay of providing care to hospitalized … [Read more...]
Coding for Hospitalists
Coding for services done by hospitalists and other specialty physicians in the hospital can be confusing. After watching these videos and downloading … [Read more...]
Billing inpatient consultation for Medicare patients | Initial visit or subsequent
Question: What should a consulting physician bill when seeing a hospitalized Medicare patient? An initial hospital service or a subsequent hospital … [Read more...]
Are subsequent hospital or office visits prior to surgery billable?
Question: Are the surgeon’s subsequent hospital visits or office visits between their original consult and the final visit prior to surgery … [Read more...]
Emergency Department Visits
Definition Emergency department (ED) services are E/M services provided to patients in the Emergency Department. Explanation These services … [Read more...]
Determining new patient vs. established patient | CPT® Rules
Question: A physician wrote: “We have a cosmetic treatment center that is separate from our surgical clinic. I have seen a patient in the cosmetic … [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...]
Coding Guide – Newborn and Pediatrics
Pediatricians and Family Physicians who care for newborns and sick children in the hospital need to select the category of code that describes the … [Read more...]
Billing for New Patients, Established Patients and Consults
Select the correct category of code: should it be a new patient, an established patient or a consult? This video includes CPT® and Medicare … [Read more...]
Nursing Facility Services
This video summarizes the rules related to billing for nursing facility visits in about 5 minutes. Covers CPT® codes 99304-99310 including discussion … [Read more...]
Consultations: Why Can’t I Get Paid for This?
A surgeon is called to the emergency to see a patient with abdominal pain and bills a consult for the service. This brief video uses an example of … [Read more...]
Selecting Category of Code
Some of the most common questions we receive are in regard to selecting category of code for E/M services. This 20 minute video offers step by step … [Read more...]
Can I get paid for…nurse visits
Nurse visits - when can you bill for them, and when are the services of the nurse just part of the cost of doing business? Download … [Read more...]
Category of Code
This article is from the Category of Code section in our Everyday Medical Coding book. It provides definitions and tips for determining new patient, … [Read more...]
Not billing consult codes? You are losing $$$$
In 2010, Medicare stopped recognizing consultation codes. In their discussion, they stated that they still did pay for consultations, but they used … [Read more...]