In Billing
May 1st, 2014
Understand new and established patient requirements and how to apply them. By G.J. Verhovshek, MA, CPC Most professional coders—even relative beginners—are familiar with the “three-year rule” to determine whether a patient is new or established with a provider. But that familiar rule has a few wrinkles that make determining patient status more complex than you might ...
In CMS
May 1st, 2010
Heated coding discussions seek resolution to unanswered questions. By Karen Pettit, BBA, CPC, CMC, and G. John Verhovshek, MA, CPC As you are probably well aware, the Centers for Medicare & Medicaid Services (CMS) no longer recognizes CPT® consultation codes 99241-99245 (outpatient) and 99251-99255 (inpatient), effective Jan. 1. This policy change was discussed in January’s ...