In CMS
Dec 10th, 2018
The 2019 HCPCS Level II code set includes an unusual nine new Modifiers that help medical coders and billers accurately report services recently adopted or changed by Medicare. Some are already effective; others are effective January 1, 2019. Modifiers CO and CQ Modifiers CO and CQ identify therapy services provided by an occupational therapy assistant ...
In Coding
Nov 29th, 2018
CPT® guidelines allow you to report E/M services by time—that is, you consider time as the key or controlling factor to qualify for a particular level of E/M service. When reporting E/M services by time, per the CPT® Evaluation and Management (E/M) Service Guidelines: Counseling or coordination of care must dominate (more than 50 percent) ...
In Billing
Nov 28th, 2018
The Centers for Medicare and Medicaid Services (CMS) held an open door forum last week to review the Physician Fee Schedule (PFS) rule for 2019, including proposals that will be deferred until 2021 as part of the Patients over Paperwork initiative. CMS stressed that they will be paying for virtual check-ins with patients and virtual consultations ...
In CMS
Nov 19th, 2018
The Centers for Medicare & Medicaid Services (CMS) announced in the 2019 Physician Fee Schedule Final Rule that it will eliminate some home visit documentation requirements. Payment rates for E/M visits in the patient’s private residence (99341-99350) are marginally higher than those for the equivalent office-based visits. In previous years, home visit documentation had to ...
In CMS
Nov 19th, 2018
Medicare generally does not allow coding for two, same-day E/M office visits by the same physician (or any other physician of the same specialty from the same group practice). But with the release of the 2019 Physician Fee Schedule Final Rule, the Centers for Medicare & Medicaid Services (CMS) has indicated it may revise this ...