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 ...
Effective January 1, 2017, the Centers for Medicare & Medicaid Services (CMS) proposed that add-on code G0501 could be billed with new and established patient office/outpatient E/M codes (99201-99205 and 99212-99215), as well as transitional care management codes (99495, 99496), when the additional resources described by the code are medically necessary and used in the ...
In CMS
Dec 5th, 2016
Centers for Medicare & Medicaid Services (CMS) evaluation and management (E/M) Documentation Guidelines (DG) allow providers to use an extended history of present illness (HPI), as defined by the 1997 evaluation and management documentation guidelines (DG), with the remaining elements of the 1995 DG. This means that “the status of three or more chronic conditions” ...