In CMS
Apr 14th, 2019
Moderate sedation, also sometimes referred to as conscious sedation, is a drug-induced depression of consciousness. A patient who has been sedated in this way is relaxed and generally insensitive to pain, but remains awake and able to respond to verbal instruction. If medically necessary and properly documented, moderate sedation is a separately reported service. Codes ...
In Coding
Apr 5th, 2019
For 2019, the CPT® codebook made changes that affect proper coding for replacement or change of a gastrostomy tube. Here’s what you need to know to be sure your coding is current and correct. A gastrostomy tube, or G-tube, is a tube inserted through the abdomen to deliver nutrition directly into the stomach. Prior to 2019, a ...
In Coding
Mar 29th, 2019
Clinical documentation improvement (CDI) is a process that continually seeks to answer, “How best can maximize the integrity of the medical record?” Although the goal of CDI is always the same—to provide a complete and accurate picture of a patient’s medical condition(s) and the care they receives—the means to achieve that goal are often specific ...
Mar 19th, 2019
A summary of the CPT® Editorial Panel’s actions during its February 2019 meeting offers us a glimpse of changes to come for the CPT 2020 and 2021. Perhaps the biggest news are approved revisions to office and outpatient E/M codes 99201-99215, scheduled for 2021 implementation, covered here. Other approved changes for 2021 include: Significant revision ...
In Billing
Mar 8th, 2019
The CPT® codebook is careful to differentiate clinical staff from physicians and qualified healthcare professionals (QHPs). Per CPT®: A “physician or other qualified health care professional” is an individual who is qualified by education, training, licensure/regulation (when applicable), and facility privileging (when applicable) who performs a professional service within his/her scope of practic...