In Coding
Dec 13th, 2018
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: ...
Know what payers are looking for in subsequent hospital care claims, and how to give it to them. Medical necessity is the No. 1 consideration when selecting an evaluation and management (E/M) service code. Without medical necessity to support billed services, your practice is put at a serious noncompliance risk. Consider, for example, one payer’s ...
In Coding
Dec 1st, 2018
CMS stirs the pot with a final rule to follow through on E/M changes. Earlier this year, the Centers for Medicare & Medicaid Services (CMS) caused a stir by proposing radical changes to the documentation requirements, coding conventions, and payment of new and established outpatient evaluation and management (E/M) services. With the Nov. 1 release ...
In Billing
Nov 28th, 2018
The Centers for Medicare and Medicaid Services (CMS) held an open door forum last week to review the Physician Fee Schedule (PFS) rule for 2019, including proposals that will be deferred until 2021 as part of the Patients over Paperwork initiative. CMS stressed that they will be paying for virtual check-ins with patients and virtual consultations ...
In CMS
Nov 20th, 2018
Monumental changes to Medicare policy finalized in the 2019 Physician Fee Schedule (PFS) final rule warranted a Centers for Medicare & Medicaid Services (CMS) national call, held Nov. 19. Here’s a summary of what you may have missed. First Up: Evaluation and Management Services CMS started out with an explanation of the Patients Over Paperwork ...