Nov 1st, 2012
By Jaci Johnson CPC, CPMA, CEMC, CPC-H, CPC-I Whether performing an audit or providing education, when it comes to evaluation and management (E/M) coding, your first consideration should be accurate, compliant information and results. Choose Reliable Resources Our reliable resources are the Centers for Medicare & Medicaid Services (CMS) 1995 and 1997 Documentation Guidelines for ...
Jul 1st, 2011
Know the specifics so you’ll be current with home health service requirements. By Christopher A. Parrella, JD, CHC, CPC, CPCO Effective April 1, the Centers for Medicare & Medicaid Services (CMS) implemented new face-to-face encounter requirements for home health services (MBPM30.5.1.1). This new rule requires the certifying physician document all face-to-face encounters conducted with patients...
May 1st, 2010
By Kerin Draak, MS, WHNP-BC, CPC, CEMC, COBGC Providers of long-term care services must comply with several different regulating criteria, and it is the coder’s responsibility to understand applicable rules when coding these unique services. In recent years, there have been extensive changes in the Nursing Facility Services section of the CPT® manual. Although this ...
Jan 1st, 2009
Part 2 of a 2-part series By Elin Baklid-Kunz, MBA, CPC, CCS Last month, we discussed Change Request (CR) 5993, which revises the Medicare Claims Processing Manual, Publication 100-04, Chapter 12, §30.6.12 “Critical Care Visits and Neonatal Intensive Care (Codes 99291-99292).” This revision updates previous critical care payment policy language and adds general Medicare evaluation ...
Aug 1st, 2007
By Belinda S. Frisch, CPC Non-physician practitioner (NPP) billing continues to be a source of industry confusion. There are three ways to bill Medicare for NPP services (nurse practitioners and physician assistants): billing incident-to, reporting shared/split visits, or using the NPP’s own provider number. Enroll the NPP The first step in billing NPP services to ...