In Coding
Jun 7th, 2018
Each time you meet with a patient, you should document a chief complaint (CC). CPT defines the CC as “A concise statement describing the symptom, problem, condition, diagnosis, or other factor that is the reason for the encounter, usually stated in the patient’s words.” Simply stated, the chief complaint is a description of why the ...
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 ...
CPT® code and guideline changes show a shift towards collaborative care and behavioral health management. With the release of CPT® 2018, we see major changes in coding throughout the Evaluation and Management (E/M) section. New codes and chapters were added for collaborative care management (CoCM) and behavioral health management. Let’s review these complex changes, which ...
In Billing
Dec 8th, 2017
Effective Jan. 1, 2018, modifier GT Via interactive audio and video telecommunications systems is no longer required on professional claims for telehealth services. Place of Service (POS) code 02 certifies that the telehealth service meets Medicare’s requirements for reimbursement. Get Telehealth Services Paid in 2018 POS code 02, finalized in the 2017 Medicare Physician Fee Schedule (MPFS) f...
In Coding
Oct 18th, 2017
Generally, wound care involves assessment and management of the wound, cleansing of the wound, simple debridement, and removal and reapplication of the wound dressings. In most cases, it is inappropriate to report an E/M service in addition to a wound care service (e.g., debridement, application of an Unna’s boot, etc.); however, if during the wound ...