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E/M Coding Alert

Countdown to 2021:
Take a Closer Look at the 2021 Changes to Outpatient E/M Times
Total times, prolonged services get major overhaul. In the April issue of E/M Coding Ale... Read more
Specialty Spotlight:
Understand These Criteria for Correct Peds Critical Care Coding
Beware of bundling difference between the two, experts say. Because “critical care is ... Read more
Care Management:
Take Care to Cultivate CCM in Your Practice
Here's how to create and maintain a program for chronically ill patients. A chronic car... Read more
You Be the Coder:
Look at These Rules for Accurate Observation Care Reporting
Question: Which code set should we use when the gastroenterologist admits a patient to obs... Read more
Reader Question:
Modify This E/M, Aspiration Encounter
Question: An established patient reports with right knee and thigh pain. During an E/M ser... Read more
Reader Question:
Examine Your Documentation for Telehealth Visits
Question: Due to the COVID-19 pandemic, our providers are performing mostly telehealt... Read more
News You Can Use:
Confused by the Current COVID-19 Telehealth Waivers? Here’s What You Need to Know
CMS' Interim Rule changes guidelines, adds to code list. On March 31, 2020, the Cente... Read more
Guidelines:
Understand Telehealth by Studying These 3 Scenarios
Make modifier mistakes a thing of the past. Virtual check-ins. POS modifiers. There's a... Read more
CPT® Updates:
Pay Attention to These Corrections, Update Your E/M Understanding
Know what the AMA revised in its latest errata list. With everything going on at the mo... Read more
You Be the Coder:
Know What Is, Is Not Included In This Preventive Care Encounter
Question: A 50-year-old new male patient with a strong family history of cancer reported t... Read more
Reader Question:
Be Critical of These Codes in CCU Situations
Question: When our provider rounds on a patient in the critical care unit (CCU), can we us... Read more
Reader Question:
Take Time To Add These Multi-Provider Minutes
Question: One of our providers spent 40 minutes treating a critically ill adult patient in... Read more
Reader Question:
Fine-Tune Your Modifier 24 Use With This Advice
Question: We just used modifier 24 for the first time and now we're worried we may have u... Read more
Countdown to 2021:
Get Your GI Practice Ready for the 2021 E/M Overhaul
Know how these 3 changes will affect you next year. Office and outpatient E/M visits are ... Read more
Specialty Spotlight:
Focus on E/M for Presurgical Fracture Care
Global period key to modifier choice. Can you code for an E/M service if your orthopedi... Read more
Documentation:
Study These 4 Suggestions, Sharpen Your E/M Savvy
Experts offer their advice for best practices. Accurate documentation produces accurate E... Read more
You Be the Coder:
Modify Your Understanding of E/M-Venipuncture Encounters
Question: Should I apply modifier 25 onto an E/M visit code (in this case, 99213) when my ... Read more
Reader Question:
Reach for E/M When Provider Removes Unimpacted Cerumen
Question: Our pediatrician removed cerumen from a patient's left and right ears. The cerum... Read more
Reader Question:
Be Critical of Using 99291 for Vent Management
Question: Our pulmonologist oversaw vent management for an inpatient last week and billed ... Read more
Reader Question:
Use This Answer to Code Split Preventive Services
Question: If a patient was seen by her Primary Care Physician for an annual checkup, ... Read more
Countdown to 2021:
Be Ready to Change Your New Patient Outpatient E/M Coding
On Jan. 1, 2021, 99201 will be no more. CPT® code 99201 (Office or other outpatient... Read more
Critical Care:
Get Critical With This 99291/+99292 FAQ
Hint: guidelines, bundling, and times key to clean critical care claims. Even if you're a... Read more
Telemedicine:
Keep Telemedicine Claims Safe From OIG’s Scrutiny
Pill mills, telemedicine fraud high on Feds' watch list. With the opioid epidemic showing... Read more
Reader Question:
Take This Advice, Modify Double Dx Decisions
Question: We know that most insurers say separate diagnoses are not required to use modifi... Read more
Reader Question:
Evaluate Elements in This Subsequent Care Scenario
Question: One of our young patients was just hospitalized for acute gastroenteritis and de... Read more
Reader Question:
Report E/M in This Eyelid Encounter
Question: Our physician performed chemodenervation to treat a bilateral blepharospasm on a... Read more
Reader Question:
Observe This Answer for Accurate Admissions Account
Question: Our ob-gyn saw a patient on 2/1/20 and then admitted her on 2/2/20. What code sh... Read more
You Be the Coder:
Think Twice Before Prolonging Neonatal Intensive Care
Question: If we bill 99468 for neonatal intensive care, can we also bill a prolonged servi... Read more
Countdown to 2021:
Know What Stays, What Goes, in the 2021 E/M Shakeup
Say goodbye to 99201, hello to 99XXX. Though it didn't deliver the final word, the 2020 M... Read more
Guidelines:
Take These 4 Tips for Precision Online Digital E/M Coding
Here are all the guidelines you need to know to bill 99421-99423. The deletion of 99444 a... Read more
Specialty Spotlight:
Keep Your ED Coding on the Level With This Advice
MI, trauma cases don't always add up to 99285. When a reader recently asked us whether al... Read more
Reader Question:
Get the Timing Right Before Coding for Prolonged Service
Question: Our interventional radiologist saw a patient during an E/M service for a prolong... Read more
Reader Question:
Don’t Modify This E/M Venipuncture Scenario
Question: Should I apply a modifier 25 onto an E/M visit code (992xx) when my oncologist p... Read more
Reader Question:
Look to These Guidelines to Know Your History
Question: Would you consider a physician documenting “No sick contacts” acceptabl... Read more
You Be the Coder:
Want to Bill 99241-99245 Frequently? Consult the Answer to This Question
Question: Our ophthalmologist performed an office consul­tation on a patient and his insu... Read more
Countdown to 2021:
Begin the Countdown to 2021 by Taking These 2 Steps
Now's the time to get ready for the new office/outpatient E/M coding changes. In just 12 ... Read more
Care Management:
Are You Making These 5 Big Changes to Your Care Management Coding?
Here's how TCM, CCM can boost your 2020 revenue stream. The addition of principal care ma... Read more
Specialty Spotlight:
Improve Your Ob-gyn Preventive Care Coding With These Pointers
Know the ins and outs of reporting 99401-99404. Do you know how to apply 99401-99404, the... Read more
Reader Question:
Stimulate Your Understanding of Reporting E/M With This Code
Question: The provider saw a patient for an outpatient E/M service. During the physical ex... Read more
Reader Question:
Don’t Sneeze at This E/M, Allergy Testing Advice
Question: Following allergy testing, the physician meets with the patient to go over the r... Read more
Reader Question:
Add This Knowledge to Prolong Your E/M Coding
Question: What does the plus symbol in front of some E/M service codes signify? Connectic... Read more
You Be the Coder:
Take Time to Code This E/M Encounter by the Book
Question: One of our providers wants to report 99203, using time to meet the level require... Read more