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 ...
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 ...
Certification exams can be stressful, but E/M leveling doesn’t have to make it worse. By Colleen Mescall, MHA/E, CPC, CPC-I, CPMA, AAPC Fellow Evaluation and management (E/M) coding can be intimidating for many people sitting for the Certified Professional Coder (CPC®) exam. How do you determine an E/M level when the level of the three ...
Ambiguities in the 1995 documentation guidelines create uncertainty. Editor’s Note: After this article was written, a Medicare administrative contractor announced new definitions for “detailed” and “expanded poblem-focused.” See the May issue of Healthcare Business Monthly to learn more. Within the Centers for Medicare & Medicaid Services’ (CMS) 1995 Documentation Guidelines for Evaluation and ...
A quote from the “The Great Debaters” has stuck with me since I saw the movie five years ago: “You do what you have to do, so you can do what you want to do.” It became my mantra, and it has gotten me through some tough times. If ever you lose your way on ...