In Coding
Dec 26th, 2017
When calculating time spent performing a time-based procedure or service, include only those items specifically detailed in the code descriptor. For example, when reporting critical care services (e.g., 99291-99292), you may include the time spent interpreting cardiac output measurements or chest X-rays, performing ventilator management or vascular access, and other services enumerated within CPT® ...
Feb 1st, 2013
When time is a key factor, follow these five basic rules. By G.J. Verhovshek, MA, CPC   For 2013, the American Medical Association (AMA) updated their CPT® codebook to better explain the rules for time-based codes. The revised instructions can be found in the Introduction section of the CPT® Professional Edition (page xii), under the ...
May 1st, 2012
With health information available online, the patient/provider relationship is changing. By Ida Landry, CPC The Internet and telephone have become increasingly popular methods for providing medical assistance and enhancing patients’ health care experience. Combined with supplementing face-to-face office visits, these alternative services offer a quality of care not seen since the days of the house ...
In Audit
Dec 15th, 2011
The Centers for Medicare & Medicaid Services (CMS) recently clarified documentation rules for home health care provided following an acute or post-acute stay after CMS contractors denied payment in the following situations: The home health care agency (HHA) uses a single form (i.e., 485) for the plan of care and the certification with a single signature ...
Dec 1st, 2011
Whether it’s new modifiers, E/M, radiology, or Category II codes, we have the outlook for what’s on the horizon. By Raemarie Jimenez, CPC, CPMA, CPC-I, CANPC, CRHC CPT® 2012 arrives with over 500 code changes, plus minor additions to the Evaluation and Management Services Guidelines. The revised evaluation and management (E/M) guidelines clarify the “three-year ...