Mar 12th, 2019
In its February 2019 meeting, the AMA CPT Editorial Panel has approved revised guidelines for new and established office or outpatient visit codes 99202-99215 that would eliminate history and examination as key components to select the E/M service level. Additional E/M documentation changes include the deletion of level one new outpatient visit code 99201, and ...
In Audit
Mar 5th, 2019
Separately billing routine evaluation and management (E/M) services provided on the same day as another medical procedure is typically denied by Medicare. Healthcare providers may sometimes separately bill E/M services if they meet certain criteria and append modifier 25 Significant, separately identifiable evaluation and management service by the same physician or other qualified health care ...
In CMS
Feb 21st, 2019
No doubt your provider’s office or group practice has sent patients via ambulance to the hospital. Now, Medicare wants ambulances to bring patients to you. This a 2020 change for medical coding of transports and for providers. And it may affect evaluation and management (E/M) coding in providers’ offices. Ambulances Redirected The Centers for Medicare ...
In CMS
Feb 21st, 2019
A split or shared visit occurs when both a physician and a qualified non-physician practitioner (NPP) meet face-to-face with a Medicare patient on the same date of service, and the work of the physician and the NPP are “combined” into a single E/M service. Split or shared visits may improve a physician’s productivity and positively ...
In Billing
Feb 7th, 2019
The Centers for Medicare & Medicaid Services (CMS) is proposing to change the Clinical Laboratory Improvement Amendments of 1988 (CLIA) for 2020 and it could affect a medical group or facility’s bottom line. CLIA Analyte Additions The notice of proposed rulemaking includes the addition and deletion of analytes – or the components being studied – ...