In Billing
Jan 12th, 2018
Your practitioners may be performing services for which they are neither being reimbursed nor receiving credit toward their quality reporting. You can help maximize their earning potential and receive credit where it’s due by pointing out these three separately payable services. Chronic Care Management Chronic conditions (e.g., Alzheimer’s disease, arthritis, asthma, cancer, depression, HIV, strok...
Q: “End-of-life planning, on agreement of the beneficiary” is listed as a requirement for Medicare’s Initial Preventive Physical Examination (IPPE). Does this mean that end-of-life planning is optional? What documentation is necessary to substantiate the service? A: The IPPE, or “Welcome to Medicare” visit, is a once-per-lifetime benefit, which must be provided within the first 12 months ...
By Brenda Edwards, CPC, CPB, CPMA, CPC-I, CEMC A new category of evaluation and management (E/M) services was introduced in January. Chronic Care Management (CCM) services are provided to a patient who has two or more chronic conditions expected to last at least 12 months, or until the death of the patient. The conditions place ...
Dec 10th, 2013
The 2014 Medicare Physician Fee Schedule (MPFS) final rule, published in the Nov. 27 Federal Register, establishes preliminary guidelines for how physicians and other qualified healthcare professionals can receive separate payment for chronic care management (CCM) services furnished to Medicare patients beginning in 2015. The Centers for Medicare & Medicaid Services (CMS) first introduced CCM ...
In Audit
Dec 14th, 2012
By Jacqueline Nash Bloink, MBA, CPC-I, CHC There are three types of wellness visits, each of which has different requirements. To know if you are being compliant with requirements and coding correctly, know what each entails: 1. Initial Preventive Physical Examination (IPPE) or the “welcome to Medicare preventive visit” – use code G0402 Initial preventive ...