In CMS
Jun 27th, 2016
Question: Is it appropriate to report an office-based E/M (e.g., 99204 Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; Medical decision making of moderate complexity…) for a non-emergency visit by a specialist that takes place in the ...
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 ...
In Billing
Dec 6th, 2013
This past summer, the Center for Medicare & Medicaid Services (CMS) issued notice that it was considering a radical change for emergency department (ED) and hospital clinic evaluation and management (E/M) coding. With the release of the 2014 hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center Payment System (ASC PS) final rule, that ...
In Billing
Nov 12th, 2013
By Jim Strafford, CEDC, MCS-P The Center for Medicare & Medicaid Services (CMS) has proposed a landmark change to emergency department (ED) and Clinic Facility coding methodology. If enacted, the proposal would mark an end to “levels” coding in the ED and hospital clinics. In a letter dated July 18, CMS announced that, as part ...
In CMS
Oct 1st, 2013
Improve your coding acumen by understanding the differences between ED facility and ED physician coding. When coding for the emergency department (ED), there are differences in how facility and professional services are determined. You must be aware of these differences, and understand that the codes assigned by the ED facility coder may not match those ...