The U.S. Preventive Services Task Force (USPSTF) has released a new recommendation for obesity screening in children and adolescents. The USPSTF recommends that clinicians screen for obesity in children and adolescents 6 years and older, and offer or refer overweight individuals to comprehensive, intensive behavioral interventions to promote improvements in weight status. This recommendation is bas...
When you can speak the language, correct reimbursement comes naturally. As healthcare business professionals, we’re expected to know the meaning of an infinite number of terms. It’s inevitable for some terms to be misinterpreted. For example, the terms “global service,” “global surgical package,” and “global period” often are used interchangeably, but they are distinct. To ...
It can mean the difference between getting paid for services and a hospital eating the cost. If you work in a teaching facility with residents, chances are you’ve had difficulty sorting through the Centers for Medicare & Medicaid Services (CMS) guidelines for proper billing of these services. Things start to make sense, however, if you ...
NGS is making certain exam requirements clearer. Under the current 1995 Documentation Guidelines for Evaluation and Management (E/M) Services, 2-7 body parts and/or organ systems are examined for both the expanded problem-focused visit and detailed physical exam visit. This contradictory guidance for determining level of service has frustrated many a provider and coder from day ...
UPDATE! Read the article “New Guidance Is Good News for E/M Service Coding” on page 54 of the May issue for new guidance that may help to make exam requirements clearer. They were problematic 20 years ago and are even more so with today’s technology. There are two sets of evaluation and management (E/M) services guidelines ...