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...]
CPT® and CMS rules for critical care | What’s the difference?
There are some significant differences in critical care rules as described in CPT® and in the Medicare Claims Processing Manual.1 This makes it … [Read more...]
Prolonged Services
Lunch and Learn There are three sets of prolonged services codes. The first set describes add-on codes to E/M services, 99354—99357. The … [Read more...]
Quick Coding Cheat Sheet – E/M Services
E/M Quick Reference for Evaluation and Management Codes This quick reference coding guide to E/M services covers consults, initial and subsequent … [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...]
Critical Care
Critical care has high relative value units and payments so it's important to know the coding rules. This video describes when and how to bill for … [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...]
Billing for Nurse Visits
99211 is the established patient E/M services code for services that do not require the presence of a physician, often referred to as nurse visits. … [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...]
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 Coding book. It provides definitions and tips for determining whether an office … [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...]
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...]