In CMS
Jul 14th, 2017
Among the many provisions detailed within the 2018 Physician Fee Schedule Proposed Rule, released July 13, the Centers for Medicare & Medicaid Services (CMS) acknowledges that the current evaluation and management documentation guidelines create an administrative burden and increased audit risk for providers: Stakeholders have long maintained that both the 1995 and 1997 guidelines are ...
In Coding
Jul 13th, 2017
The American Medical Association (AMA) recently posted a short list of new and revised vaccine codes on their website. These codes are effective July 1, 2017, and will appear in the CPT® 2018 codebook: 90587 Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use This is a new code, pending FDA approval. 90620 Meningococcal recombinant ...
In Coding
Jun 26th, 2017
If a patient is placed under observation status and is discharged on the same date of service, proper coding will depend on whether the observation status lasted fewer than, or more than, eight hours. — For observation status lasting fewer than eight hours, report initial observation care (99218-99220 Initial observation care, per day, for the ...
In Coding
May 15th, 2017
All billable medical procedures include an “inherent” E/M component, to gauge the patient’s overall health and the medical appropriateness of the service. To report a separate E/M service with modifier 25 Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure ...
In Billing
Apr 24th, 2017
Telehealth is growing in popularity and scope. Most local markets have facilities or patient groups seeing patients via the internet. But there are so many facets to telehealth and reimbursement is relatively recent. How do you make sure the online service provided is reimbursable? Here are 5 tips that will help you be reimbursed: Be ...