There’s a painful fact about medicine today, one practitioners and healthcare organizations are often hesitant to talk about: Physicians choose to end their lives at a rate of around twice the rest of the general population. Exact numbers are hard to come by because of inaccurate or misleading cause-of-death coding and likely under-reporting. According to ...
In Billing
Jul 2nd, 2018
The only case when time may be used as the overriding factor in determining an evaluation and management (E/M) level is when counseling and/or coordinating care dominates the encounter, which means that the time expended on counseling and/or coordinating care exceeds 50 percent of the total encounter time. This applies to non-time-controlled E/M services that ...
In Coding
Oct 15th, 2015
When reporting E/M services by time (rather than the key components of history, exam, and medical decision-making), you should use CPT® “reference times” to determine an appropriate E/M service level. The reference time is stated in the final sentence of the CPT® E/M code descriptor (e.g., “Physicians typically spend 30 minutes face-to-face with the patient ...
Mar 19th, 2015
The Centers for Medicare & Medicaid Services (CMS) is considering to remove two national coverage determinations (NCDs). As required by law, CMS has initiated a 30-day public comment period before making a final decision. The NCDS up for possible removal are: 110.14  Apheresis (therapeutic pheresis) 210.4  Smoking and Tobacco-Use Cessation Counseling (section 210.4.1 would remain) The ...
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 ...