In Coding
Sep 30th, 2013
Occasionally, a physician may see a patient in the office and send that patient immediately to the hospital for admission. In such a case, you may consider the history and physical (H&P) taken in the office when determining the inpatient admission level (e.g., 99223 Initial hospital care, per day, for the evaluation and management of ...
Aug 1st, 2012
By Erin Andersen, CPC, CHC The age of electronic health records (EHRs) has begun. The days of deciphering illegible chicken scratches, cajoling busy physicians to write more than 10 words, and extensive searches for missing charts will one day be extinct. The EHR allows coders to work from home, promises a more complete record, timesaving ...
In Billing
Dec 22nd, 2010
By Jill Young, CPC, CEDC, CIMC — East Lansing, MI Are you aggravated by accounts with small balances as you work your receivables; those small balances that show up on your reports as co-pays that were not collected at the time of service? If your office doesn’t have a policy for collection of co-pays BEFORE ...
In Audit
Apr 30th, 2010
Think your physician knows what constitutes a high-level evaluation and management (E/M) service? If he has a record of mainly billing high-level office visits, he may not. One thing you can be sure of is that all those high-level E/M claims will eventually catch your payer’s attention. Rather than hold your breath and hope for the best, ...
Mar 1st, 2009
Use sign, symptom, or condition to prevent confusion with Preventive Medicine Counseling codes (99401-99404). By William P. Galvin, CPC A patient’s status—new, established, or consultation—isn’t the only element you should consider when coding an evaluation and management (E/M) office or other outpatient service. You also need to match the usual time associated with the E/M ...