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 ...
Jul 28th, 2014
If you are wondering why your practice is receiving an unexpected number of denials for certain codes, you may want to check out a recent study published in Physicians Practice which ranks the top five unexpected denials in various specialties. Data was collected by RemitDATA from May 1, 2014 – May 31, 2014 via electronic ...
Jun 1st, 2013
Facility Coding relies on the details of these much-needed emergent care services. By Lori-Lynne A. Webb, CPC, COBGC, CCS-P, CCP, CHDA Coding for an obstetrics/gynecology (OB/GYN) hospitalist requires an understanding of the OB/GYN specialty, as well as of place of service (POS) codes, time-based codes, evaluation and management (E/M), ancillary services, and OB/GYN procedures. Get ...
Feb 1st, 2013
When time is a key factor, follow these five basic rules. By G.J. Verhovshek, MA, CPC   For 2013, the American Medical Association (AMA) updated their CPT® codebook to better explain the rules for time-based codes. The revised instructions can be found in the Introduction section of the CPT® Professional Edition (page xii), under the ...
Jul 1st, 2012
By Ronda Tews, CPC, CHC, CCS-P Contrary to any rumors you may have heard, the electronic health record (EHR) must follow the same documentation requirements as its predecessor, the paper chart. If a detailed history is required to bill 99214 or 99203 in the paper record, it is still required to report 99214 or 99203 ...