Use the next two years to prepare for new documentation guidelines and payment rates. On Nov. 1, 2018, the Centers for Medicare & Medicaid Services (CMS) finalized in the 2019 Physician Fee Schedule final rule significant changes to documentation requirements and reimbursement for evaluation and management (E/M) office visits (CPT® 99201-99215). The most significant changes ...
In Coding
Jan 23rd, 2019
Prior to receiving medical care, some potential patients may ask for a meet and greet visit with a physician. We expect this kind of “shopping around” when it comes to other types of purchases, and it’s become more common in healthcare. For example, many expectant parents now interview obstetricians before deciding who they’d like to ...
In Billing
Jan 17th, 2019
As seen in The Journal of Urgent Care Medicine, titled “Travel Immunizations:” Q. What is the best way to code for and bill patients who come in because they are planning to travel out of the country and need to know what immunizations they should have before traveling? We advise them on preventive measures to ...
Dec 20th, 2018
Be a part of the solution: Comment on a draft strategy for reducing regulatory administrative burdens. Do the practitioners in your organization complain about the administrative burden associated with the use of electronic health records (EHR) and other health information technology (IT)? You may be sick of hearing it, but the Office of the National ...
Know when and how to report fee-for-service obstetric visits. Many obstetric offices charge for obstetric (OB) visits using a global care code. In some cases, however, you may need to report OB visits individually as fee-for-service visits. Let’s review the steps to ensure your providers are hitting all documentation requirements for these services. Step 1: ...