In Coding
Feb 28th, 2019
Guidelines and auditing tools help with the decision-making process involved in coding E/M services. Selecting evaluation and management (E/M) service levels in the emergency department (ED) can be a challenge, and the medical decision making (MDM) component is particularly difficult to score. E/M service guidelines are defined separately in the CPT® code book, by the ...
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 ...
Feb 13th, 2017
Forget the traffic gridlock to the huge, metro medical center where you’re bound to get lost. Drive past the sketchy strip mall’s urgent care center and go to the neighborhood microhospital for your care. These eight to 20 bed facilities comprise the newest service for those living in urban and suburban areas. Get quicker access to ...
Set the record straight when reporting global fracture care. By Margie Scalley Vaught, CPC, COC, CPC-I, CCS-P, MCS-P, ACS-EM, ACS-OR, Robin Zink, CPC, and Barbara Fontaine, CPC In the January issue of Healthcare Business Monthly, the article “Tricky ED Fracture Care Billing Explained” (pages 24-26) failed to provide all of the official documentation and sources regarding when ...
In Coding
Nov 13th, 2014
Any provider can use the emergency department codes (99281-99285), as long as the service is provided in the ED setting. There is not a requirement for the provider to be assigned to the ED to use these codes. When an ED physician requests another physician to see the patient in the ED, both physicians should ...