E/M Coding & Reimbursement Alert
Diagnosis Focus:
Walk Yourself Through Coding Spinal Stenosis
Hint: Patients may require multiple encounters before the provider pinpoints a Dx. A pati... Read more
Walk Yourself Through Coding Spinal Stenosis
Hint: Patients may require multiple encounters before the provider pinpoints a Dx. A pati... Read more
Specialty Spotlight:
Look for These Specific Terms in Documentation to Pinpoint Urodynamics Code
Find out when you can bill a separate E/M service. A urologist may perform urodynamics t... Read more
Look for These Specific Terms in Documentation to Pinpoint Urodynamics Code
Find out when you can bill a separate E/M service. A urologist may perform urodynamics t... Read more
Condition Coding:
Dive Deep Into Skull Fracture Repair Coding
Let encounter location drive E/M code choice. It's a safe bet that almost all neurosurge... Read more
Dive Deep Into Skull Fracture Repair Coding
Let encounter location drive E/M code choice. It's a safe bet that almost all neurosurge... Read more
Reader Questions:
Course-Correct With a Tricky Provider Conversation
Question: We have a provider in our practice that insists on adding an office/outpati... Read more
Course-Correct With a Tricky Provider Conversation
Question: We have a provider in our practice that insists on adding an office/outpati... Read more
Reader Questions:
Code In-House Services Inclusively
Question: Our group practice has a radiology department that performs several ultraso... Read more
Code In-House Services Inclusively
Question: Our group practice has a radiology department that performs several ultraso... Read more
Reader Questions:
Remember New Patients are Never Incident-To
Question: A new patient came in and the nurse practitioner (NP) took the initial hist... Read more
Remember New Patients are Never Incident-To
Question: A new patient came in and the nurse practitioner (NP) took the initial hist... Read more
You Be the Coder:
Do Two Feet Mean Two Problems?
Question: If a patient has a bilateral problem (for example, the patient has rheumato... Read more
Do Two Feet Mean Two Problems?
Question: If a patient has a bilateral problem (for example, the patient has rheumato... Read more
Specialty Spotlight:
Get in Sync With These Major ED E/M Changes
Prepare for MDM to reign supreme. Emergency department (ED) coding will undergo some majo... Read more
Get in Sync With These Major ED E/M Changes
Prepare for MDM to reign supreme. Emergency department (ED) coding will undergo some majo... Read more
Coding Update:
Understand These Long-Term Drug Therapy Code Adjustments
Hint: Side effects may affect MDM leveling. With medical records constantly on the move b... Read more
Understand These Long-Term Drug Therapy Code Adjustments
Hint: Side effects may affect MDM leveling. With medical records constantly on the move b... Read more
Best Practices:
Keep a List of Current Payer Policies Surrounding IUD Procedures
Surprise: Some payers won't pay for removals at all. There are myriad policies surroundin... Read more
Keep a List of Current Payer Policies Surrounding IUD Procedures
Surprise: Some payers won't pay for removals at all. There are myriad policies surroundin... Read more
Reader Question:
Don’t Use This Modifier in This Preventive Exam Scenario
Question: Our pediatrician saw an existing 7-week-old patient for a routine checkup with i... Read more
Don’t Use This Modifier in This Preventive Exam Scenario
Question: Our pediatrician saw an existing 7-week-old patient for a routine checkup with i... Read more
Reader Question:
Define 'Postconcussional' Syndrome
Question: Notes indicate that the provider performed a level-three office evaluation ... Read more
Define 'Postconcussional' Syndrome
Question: Notes indicate that the provider performed a level-three office evaluation ... Read more
Reader Question:
Append These Modifiers for Bone Cyst Evaluation
Question: A new patient reports to the orthopedist complaining of left shoulder pain.... Read more
Append These Modifiers for Bone Cyst Evaluation
Question: A new patient reports to the orthopedist complaining of left shoulder pain.... Read more
You Be the Coder:
Consider This Lumbar Injection Encounter
Question: Encounter notes indicate that after an office evaluation and management (E/M) se... Read more
Consider This Lumbar Injection Encounter
Question: Encounter notes indicate that after an office evaluation and management (E/M) se... Read more
Coding Updates:
Find Out Which 2023 Code Changes Affect Office/ Outpatient Consultations
Don't miss which modifier will be a key coding component. Spend the fall preparing for th... Read more
Find Out Which 2023 Code Changes Affect Office/ Outpatient Consultations
Don't miss which modifier will be a key coding component. Spend the fall preparing for th... Read more
Best Practices:
Beware 3 Red Flags When Coding Time
Hint: Make sure hours coded match hours worked. One of the major changes in the 2021 CPT... Read more
Beware 3 Red Flags When Coding Time
Hint: Make sure hours coded match hours worked. One of the major changes in the 2021 CPT... Read more
Specialty Spotlight:
Here’s How to Navigate Antepartum Visits Outside of Global Maternity Code
Hint: Get ready to tally. Counting is key. If your ob-gyn provides antepartum care but ... Read more
Here’s How to Navigate Antepartum Visits Outside of Global Maternity Code
Hint: Get ready to tally. Counting is key. If your ob-gyn provides antepartum care but ... Read more
Reader Questions:
Refresh Your Understanding of PCM Services
Question: Who can provide principal care management (PCM) services, and what activiti... Read more
Refresh Your Understanding of PCM Services
Question: Who can provide principal care management (PCM) services, and what activiti... Read more
Reader Questions:
Understand ‘QHP’ Acronym to Code These Encounters
Question: Should I be reporting all services performed by a nurse, including those p... Read more
Understand ‘QHP’ Acronym to Code These Encounters
Question: Should I be reporting all services performed by a nurse, including those p... Read more
Reader Questions:
Consider Vaping a Form of Smoking When Coding Cessation Counseling
Question: During a follow-up E/M visit for a 19-year-old patient's chronic asthma, th... Read more
Consider Vaping a Form of Smoking When Coding Cessation Counseling
Question: During a follow-up E/M visit for a 19-year-old patient's chronic asthma, th... Read more
You Be the Coder:
Challenge Your Understanding of Concussion Encounters
Question: Encounter notes indicate that the provider performed an office E/M service ... Read more
Challenge Your Understanding of Concussion Encounters
Question: Encounter notes indicate that the provider performed an office E/M service ... Read more
2023 Updates:
Watch for Major Revisions in Hospital Coding
Say goodbye to per-day observation codes. 2023 is just around the corner, and so are upd... Read more
Watch for Major Revisions in Hospital Coding
Say goodbye to per-day observation codes. 2023 is just around the corner, and so are upd... Read more
Back to Basics:
Don’t Rely on a New Condition for an Established Patient to Bill E/M
Hint: Lean heavily on ‘evaluation' for justification. Last month, we discussed exampl... Read more
Don’t Rely on a New Condition for an Established Patient to Bill E/M
Hint: Lean heavily on ‘evaluation' for justification. Last month, we discussed exampl... Read more
Case Study:
Supercharge Your FBR Coding
Find out when making an incision makes a difference. Foreign body removals (FBRs) are a ... Read more
Supercharge Your FBR Coding
Find out when making an incision makes a difference. Foreign body removals (FBRs) are a ... Read more
Reader Questions:
Don’t Count on a Referral to Determine MDM
Question: Our providers say that referrals are always considered low risk under the ... Read more
Don’t Count on a Referral to Determine MDM
Question: Our providers say that referrals are always considered low risk under the ... Read more
Reader Questions:
Remember Incident-To in Office Setting, per Medicare
Question: The primary care practitioner (PCP) and the nurse practitioner (NP) both sa... Read more
Remember Incident-To in Office Setting, per Medicare
Question: The primary care practitioner (PCP) and the nurse practitioner (NP) both sa... Read more
Reader Questions:
Understand Circumstances Where Patient May be Absent
Question: A patient's family came in, and our pediatrician spoke to them about the ch... Read more
Understand Circumstances Where Patient May be Absent
Question: A patient's family came in, and our pediatrician spoke to them about the ch... Read more
You Be the Coder:
Don’t Get Tripped Up by MRI Order
Question: The provider performed an emergency department (ED) evaluation and manageme... Read more
Don’t Get Tripped Up by MRI Order
Question: The provider performed an emergency department (ED) evaluation and manageme... Read more
Back to Basics:
Can You Distinguish a Procedure From an E/M Service?
Plus, know how to support, with documentation, appending modifier 25. Even expert coders... Read more
Can You Distinguish a Procedure From an E/M Service?
Plus, know how to support, with documentation, appending modifier 25. Even expert coders... Read more
Billing:
Know Patient Status Before Billing Incident-To
Hint: Check with your payers before billing. If your practice provides services inciden... Read more
Know Patient Status Before Billing Incident-To
Hint: Check with your payers before billing. If your practice provides services inciden... Read more
Specialty Spotlight:
Test Your Coding Knowledge With This Ob-Gyn Scenario
You may be able to report more than one E/M code for this pessary situation. Coding a pe... Read more
Test Your Coding Knowledge With This Ob-Gyn Scenario
You may be able to report more than one E/M code for this pessary situation. Coding a pe... Read more
Reader Questions:
Look to Patient Insurance Status for Clue on Billing Second Visit
Question: One of our providers will decide that a patient has to have surgery, then h... Read more
Look to Patient Insurance Status for Clue on Billing Second Visit
Question: One of our providers will decide that a patient has to have surgery, then h... Read more
Reader Questions:
Remember Counseling May Qualify as a Separate Service
Question: Can a GI specialist bill for alcohol abuse counseling and intervention in ... Read more
Remember Counseling May Qualify as a Separate Service
Question: Can a GI specialist bill for alcohol abuse counseling and intervention in ... Read more
Reader Questions:
Understand When Rx Management Affects MDM
Question: Our pediatrician gave a patient a trial/sample medication. The doctor docum... Read more
Understand When Rx Management Affects MDM
Question: Our pediatrician gave a patient a trial/sample medication. The doctor docum... Read more
You Be the Coder:
Figure Out Which Modifier is Best in This Arthrodesis Surgery Scenario
Question: Encounter notes indicate that the surgeon performed an office/outpatient ev... Read more
Figure Out Which Modifier is Best in This Arthrodesis Surgery Scenario
Question: Encounter notes indicate that the surgeon performed an office/outpatient ev... Read more
Billing:
Find Clarification on Observation Care for Shared Billing
Hint: Remember that documentation establishes the patient's medical narrative, too. The ... Read more
Find Clarification on Observation Care for Shared Billing
Hint: Remember that documentation establishes the patient's medical narrative, too. The ... Read more
Clip and Save:
Know When to Apply an E/M Code to a Colonoscopy Encounter
Either time or medical decision making may be used if visit counts as an E/M service. So... Read more
Know When to Apply an E/M Code to a Colonoscopy Encounter
Either time or medical decision making may be used if visit counts as an E/M service. So... Read more
Coding Practice:
Make an Impact When Coding Constipation
Prioritize capturing the nuances of this common condition. Constipation is a common conce... Read more
Make an Impact When Coding Constipation
Prioritize capturing the nuances of this common condition. Constipation is a common conce... Read more
Reader Questions:
Don’t Think of CPAPs as Diagnostic
Question: A patient with sleep apnea was fitted for a continuous positive airway pres... Read more
Don’t Think of CPAPs as Diagnostic
Question: A patient with sleep apnea was fitted for a continuous positive airway pres... Read more
Reader Questions:
Look to Documentation First to See if Anesthesiologist Visits Qualify for E/M Service
Question: The physician inserted a lumbar drain and wants to leave it in place for se... Read more
Look to Documentation First to See if Anesthesiologist Visits Qualify for E/M Service
Question: The physician inserted a lumbar drain and wants to leave it in place for se... Read more
Reader Questions:
Include Education in E/M Selection for This Encounter
Question: Could you explain autogenic drainage? I believe it is a method for improvin... Read more
Include Education in E/M Selection for This Encounter
Question: Could you explain autogenic drainage? I believe it is a method for improvin... Read more
You Be the Coder:
Look to Patient Status for Appropriate E/M Code
Question: Encounter notes indicate that the provider performed an office evaluation ... Read more
Look to Patient Status for Appropriate E/M Code
Question: Encounter notes indicate that the provider performed an office evaluation ... Read more
Skill Builder:
Find Answers to Burning Questions About MDM
Hint: Factor undiagnosed conditions at date of service into MDM calculations. Medical dec... Read more
Find Answers to Burning Questions About MDM
Hint: Factor undiagnosed conditions at date of service into MDM calculations. Medical dec... Read more
Emergency Medicine:
Use These 5 Benchmarking Tips to See How Your Team Compares
Where do your emergency physicians stand when it comes to national trends? One importan... Read more
Use These 5 Benchmarking Tips to See How Your Team Compares
Where do your emergency physicians stand when it comes to national trends? One importan... Read more
Inpatient Coding:
Try Time Travel for Some Inpatient Coding Situations
Don't forget to use the right modifier where appropriate. Knowing how to report inpatien... Read more
Try Time Travel for Some Inpatient Coding Situations
Don't forget to use the right modifier where appropriate. Knowing how to report inpatien... Read more
Reader Questions:
Determine Reason for Visit When Deciding if E/M Code is Appropriate
Question: Our office manager wants to charge for an office/outpatient evaluation and... Read more
Determine Reason for Visit When Deciding if E/M Code is Appropriate
Question: Our office manager wants to charge for an office/outpatient evaluation and... Read more
Reader Questions:
Rely on ‘New Patient’ When Choosing E/M Service Code
Question: During a level 3 office evaluation and management (E/M) service for a new patien... Read more
Rely on ‘New Patient’ When Choosing E/M Service Code
Question: During a level 3 office evaluation and management (E/M) service for a new patien... Read more
Reader Questions:
Stick to Documentation When Reporting Encounters Related to COVID-19
Question: Our emergency department (ED) sees a lot of patients with multiple comorbid... Read more
Stick to Documentation When Reporting Encounters Related to COVID-19
Question: Our emergency department (ED) sees a lot of patients with multiple comorbid... Read more
You Be the Coder:
Don’t Use Modifier 25 With Minor Global Period
Question: Encounter notes indicate that the provider performed osteotomies on the dis... Read more
Don’t Use Modifier 25 With Minor Global Period
Question: Encounter notes indicate that the provider performed osteotomies on the dis... Read more
Modifiers:
Use Modifiers Wisely to Demonstrate Separate and Distinct Services
Hint: You can't use modifier 59 on an E/M service code. If your clinician performs multip... Read more
Use Modifiers Wisely to Demonstrate Separate and Distinct Services
Hint: You can't use modifier 59 on an E/M service code. If your clinician performs multip... Read more
Back to Basics:
Clear the Confusion Surrounding 99211
You cannot provide incident-to services to a new patient. Although the major changes surr... Read more
Clear the Confusion Surrounding 99211
You cannot provide incident-to services to a new patient. Although the major changes surr... Read more
Clip and Save:
Use This Memory Trick to Ace Hospital Claims
You don't need to build a ‘palace' in your mind, just remember this acronym. There are ... Read more
Use This Memory Trick to Ace Hospital Claims
You don't need to build a ‘palace' in your mind, just remember this acronym. There are ... Read more
Reader Questions:
Develop Splinter Removal Coding
Question: A patient came to the emergency department (ED) after she got a splinter i... Read more
Develop Splinter Removal Coding
Question: A patient came to the emergency department (ED) after she got a splinter i... Read more
Reader Questions:
Look to Context of Conditions to Choose MDM Level
Question: A patient had labs drawn and came back in to review the results. Upon revi... Read more
Look to Context of Conditions to Choose MDM Level
Question: A patient had labs drawn and came back in to review the results. Upon revi... Read more
Reader Questions:
Remember MACs, Individual Payers Are Resources for Information
Question: For a postoperative, related evaluation and management (E/M) visit within t... Read more
Remember MACs, Individual Payers Are Resources for Information
Question: For a postoperative, related evaluation and management (E/M) visit within t... Read more
You Be the Coder:
Remember Time or MDM When Selecting E/M Code Choice
Question: Encounter notes indicate that the provider performed an office evaluation a... Read more
Remember Time or MDM When Selecting E/M Code Choice
Question: Encounter notes indicate that the provider performed an office evaluation a... Read more
Billing:
Unlock Your Understanding of PCM
Stay on top of current CPT® guidelines to know which services you can report along with ... Read more
Unlock Your Understanding of PCM
Stay on top of current CPT® guidelines to know which services you can report along with ... Read more
Knowledge Check:
Evaluate Your Preventive Care Coding Knowledge
Hint: POS may not affect ‘new' patient status. Compare your knowledge of preventive med... Read more
Evaluate Your Preventive Care Coding Knowledge
Hint: POS may not affect ‘new' patient status. Compare your knowledge of preventive med... Read more
Hospital Care:
Dive Deep Into CPT® Manual to Code Hospital Care
Remember that inpatient stays longer than one day may require different codes. If your pr... Read more
Dive Deep Into CPT® Manual to Code Hospital Care
Remember that inpatient stays longer than one day may require different codes. If your pr... Read more
Knowledge Check Answers:
Understand Preventive Care Coding
See how your answers compare to the experts'. Scenario 1 Answer: For the preventive exam... Read more
Understand Preventive Care Coding
See how your answers compare to the experts'. Scenario 1 Answer: For the preventive exam... Read more
Reader Questions:
Severity of a Condition Does Not Automatically Justify Higher Level E/M
Question: A patient returned for a six-month follow-up after undergoing a punch biops... Read more
Severity of a Condition Does Not Automatically Justify Higher Level E/M
Question: A patient returned for a six-month follow-up after undergoing a punch biops... Read more
Reader Questions:
Try Your Knowledge Counting These HPI Elements
Question: I have a question about history of present illness (HPI) and how it relates... Read more
Try Your Knowledge Counting These HPI Elements
Question: I have a question about history of present illness (HPI) and how it relates... Read more
Reader Questions:
Pay Attention to the Global Package for Surgery-Related Appointments
Question: One of our providers will decide that a patient has to have surgery, then h... Read more
Pay Attention to the Global Package for Surgery-Related Appointments
Question: One of our providers will decide that a patient has to have surgery, then h... Read more
You Be the Coder:
Focus on Fracture Presentation to Unlock Coding Pathway
Question: Notes indicate that the ED physician performed a level 5 evaluation and man... Read more
Focus on Fracture Presentation to Unlock Coding Pathway
Question: Notes indicate that the ED physician performed a level 5 evaluation and man... Read more
Prolonged Services:
Don’t Forget to Document These Crucial Non-Face-to-Face Components of Care
Know the do's and don'ts of capturing payment for the work beyond patient encounters. Pro... Read more
Don’t Forget to Document These Crucial Non-Face-to-Face Components of Care
Know the do's and don'ts of capturing payment for the work beyond patient encounters. Pro... Read more
Specialty Spotlight:
Check for Anesthesia Before Using This Otolaryngology Code
Hint: Use of anesthesia in an exam may be considered atypical. Some otolaryngologic encou... Read more
Check for Anesthesia Before Using This Otolaryngology Code
Hint: Use of anesthesia in an exam may be considered atypical. Some otolaryngologic encou... Read more
Case Study:
Try Your Hand Coding This Common Podiatry Scenario
Consider patient status to choose accurate E/M service code. If you work with a podiatris... Read more
Try Your Hand Coding This Common Podiatry Scenario
Consider patient status to choose accurate E/M service code. If you work with a podiatris... Read more
Reader Questions:
Remember An Appeal is a Tool You May Sometimes Need to Use
Question: I have a maternal fetal medicine (MFM) doctor who does an inpatient evaluat... Read more
Remember An Appeal is a Tool You May Sometimes Need to Use
Question: I have a maternal fetal medicine (MFM) doctor who does an inpatient evaluat... Read more
Reader Questions:
Evaluate Two Options in This Sibling Patient Scenario
Question: A parent brought in their two children for follow-up visits of their chroni... Read more
Evaluate Two Options in This Sibling Patient Scenario
Question: A parent brought in their two children for follow-up visits of their chroni... Read more
Reader Questions:
Don’t Get Confused by the Similarities in These After-Hours Codes
Question: When it comes to billing after-hours or evening codes, is it true that ther... Read more
Don’t Get Confused by the Similarities in These After-Hours Codes
Question: When it comes to billing after-hours or evening codes, is it true that ther... Read more
You Be the Coder:
Determine Coding for This Carpal Tunnel Encounter
Question: Notes indicate that the provider performed an office evaluation and managem... Read more
Determine Coding for This Carpal Tunnel Encounter
Question: Notes indicate that the provider performed an office evaluation and managem... Read more
News You Can Use:
Dig Deep in the 2022 MPFS Final Rule Mixed Bag
Find out when Medicare won't pay teaching physicians for shared services. Teaching physici... Read more
Dig Deep in the 2022 MPFS Final Rule Mixed Bag
Find out when Medicare won't pay teaching physicians for shared services. Teaching physici... Read more
Modifiers:
Rely on Global Periods to Help Choose Appropriate Modifier
Hint: Modifier 24 is defined by the post-op period. You know the definition for modifie... Read more
Rely on Global Periods to Help Choose Appropriate Modifier
Hint: Modifier 24 is defined by the post-op period. You know the definition for modifie... Read more
Back to Basics:
Find Answers to These 3 ROS Level Questions
Does documentation show one body system or two? The difference may cost $50. Knowing how ... Read more
Find Answers to These 3 ROS Level Questions
Does documentation show one body system or two? The difference may cost $50. Knowing how ... Read more
Reader Questions:
Answer Sticky Established Patient Question Via Taxonomy Code
Question: If a patient sees one surgeon in our practice, then one year later sees a differ... Read more
Answer Sticky Established Patient Question Via Taxonomy Code
Question: If a patient sees one surgeon in our practice, then one year later sees a differ... Read more
Reader Questions:
Follow These Guidelines on Face-to-Face Encounters on Discharge Day
Question: I read that when reporting discharge day management service, we must provide and... Read more
Follow These Guidelines on Face-to-Face Encounters on Discharge Day
Question: I read that when reporting discharge day management service, we must provide and... Read more
Reader Questions:
Rely on Documentation to Prove Management of Chronic Condition
Question: If a patient has only one chronic problem that is not worsening but is not respo... Read more
Rely on Documentation to Prove Management of Chronic Condition
Question: If a patient has only one chronic problem that is not worsening but is not respo... Read more
Reader Questions:
Focus on Intended Procedure Rather Than Payer for Cancellation
Question: I have a cosmetic case that canceled after the pre-op exam but before induction... Read more
Focus on Intended Procedure Rather Than Payer for Cancellation
Question: I have a cosmetic case that canceled after the pre-op exam but before induction... Read more
You Be the Coder:
Select E/M Level Code, Go All-Out on Diagnosis
Question: Notes indicate the provider performed a level-four office evaluation and managem... Read more
Select E/M Level Code, Go All-Out on Diagnosis
Question: Notes indicate the provider performed a level-four office evaluation and managem... Read more
Specialty Spotlight:
Nail Down Ob-Gyn Preventive Medicine Coding
Hint: Note which materials the physician referenced if choosing a face-to-face counseling... Read more
Nail Down Ob-Gyn Preventive Medicine Coding
Hint: Note which materials the physician referenced if choosing a face-to-face counseling... Read more
Inpatient Coding:
Tackle Observation Coding With This Expertise
“Observation” sounds low-key, but coding the service can be complicated. Clarify yo... Read more
Tackle Observation Coding With This Expertise
“Observation” sounds low-key, but coding the service can be complicated. Clarify yo... Read more
Knowledge Check:
Dial in Your Emergency Department Coding With These Scenarios
Hint: Distinguish between tests ordered and tests performed. Coding emergency departmen... Read more
Dial in Your Emergency Department Coding With These Scenarios
Hint: Distinguish between tests ordered and tests performed. Coding emergency departmen... Read more
Reader Questions:
Focus on ‘New’ or ‘Established’ to Unlock E/M Code for CT
Question: Notes indicate the provider performed an office evaluation and management (E/M) ... Read more
Focus on ‘New’ or ‘Established’ to Unlock E/M Code for CT
Question: Notes indicate the provider performed an office evaluation and management (E/M) ... Read more
Reader Questions:
Know What Updates Mean for Modifier 25 Usage
Question: Have the modifier 25 rules changed now that the E/M guidelines are different? My... Read more
Know What Updates Mean for Modifier 25 Usage
Question: Have the modifier 25 rules changed now that the E/M guidelines are different? My... Read more
Reader Questions:
Code a Clavicle Fracture Fix Encounter Like This
Question: Encounter notes indicate that after a level-four office-evaluation and manageme... Read more
Code a Clavicle Fracture Fix Encounter Like This
Question: Encounter notes indicate that after a level-four office-evaluation and manageme... Read more
You Be the Coder:
Count Time in this Ortho E/M Encounter
Question: How should I code this follow-up visit? A patient returned to our pediatrician a... Read more
Count Time in this Ortho E/M Encounter
Question: How should I code this follow-up visit? A patient returned to our pediatrician a... Read more