In Billing
Apr 5th, 2018
A representative from the Hospital and Ambulatory Policy Group at the Centers for Medicare & Medicaid Services (CMS) held a listening session regarding proposed updates to the documentation guidelines for evaluation and management (E/M) services on March 21st. The listening session was to get feedback from stakeholders on policy proposals for upcoming notice and comment ...
Coding thoughts for closed treatment of fractures without manipulation Coding closed treatment of fractures without manipulation can be a challenge. To ensure your coding results in proper reimbursement for the services rendered, let’s review fracture types, applicable codes, and the work they represent. Fracture Treatment Isn’t One Size Fits All When a patient is initially ...
In Coding
Apr 1st, 2018
Look at what kind of fracture it is, then decide whether it’s restorative or definitive care. By Jeannie Dean, CPC, COC, CPMA, CEMA, CEDC, CPC-I There is a common misconception that you cannot bill for fracture care in the emergency department (ED). In fact, emergency physicians regularly provide fracture care. To determine if fracture care ...
In CMS
Mar 20th, 2018
At the HIMSS18 Conference, March 3, Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma spoke about how far healthcare infrastructure has come in the United States and how far it has yet to go, referring specifically to electronic health records (EHRs). Here is an excerpt from her speech: We have held meetings in cities across ...
Billing for new patients requires three key elements and a thorough knowledge of the rules. A persistent concern when reporting evaluation and management (E/M) services is determining whether a patient is new or established to the practice. New patient codes carry higher relative value units (RVUs), and for that reason are consistently under the watchful ...