Aug 1st, 2014
Know the best coding approach when a family member or caretaker is present on a patient’s behalf. Typically, insurers (including Medicare) will not cover an evaluation and management (E/M) service with a patient’s family or caretaker(s) if the patient is not present. In such a case, the best approach to ensure reimbursement is to not ...
Aug 1st, 2012
By Nancy Clark, CPC, CPC-I Modifiers are crucial in telling the story of the claim by identifying procedures that have been altered in some way without changing the core meaning of the code(s) submitted. Let’s look at the modifiers that can be appended to evaluation and management (E/M) codes used within the global period. The ...
In Billing
Jul 15th, 2011
The Centers for Medicare & Medicaid Services (CMS) has added two new fact sheets to the Educational Resources portion of its website to help providers who are interested in participating in the Electronic Prescribing (eRx) Incentive Program. Finding E-prescribing Facts Just Got Easier was last modified: July 15th, 2011 by admin aapc...
Mar 1st, 2011
First treat the itch, then code the care. By Susan Ward, CPC, CPC-H, CPC-I, CEMC, CPCD, CPRC, and Michelle A. Dick Bedbug infestations can happen just about anywhere: houses, apartments, five-star hotels, college dorms, libraries, movie theaters, retail stores, school buses, and even hospitals. These bugs like to hitch a ride to new, dark, comfortable ...
Mar 1st, 2009
Use sign, symptom, or condition to prevent confusion with Preventive Medicine Counseling codes (99401-99404). By William P. Galvin, CPC A patient’s status—new, established, or consultation—isn’t the only element you should consider when coding an evaluation and management (E/M) office or other outpatient service. You also need to match the usual time associated with the E/M ...