EM Coding Alert
Modifier 25 vs. Modifier 57
EM Coding Alert
- Key Elements:
Choose the Right Physical Exam Guidelines Every Time to Ensure Top Payment + Compliance
Hint: You don’t have to choose 1995 or 1997 and stick with it. Having two [...] - Modifiers:
Follow 3 Steps to Solidify Your Modifier 25 Use, Before Your Payers Come Knocking
Don’t confuse 25 and 57; look to the global period. Payers are scrutinizing and denying [...] - Modifier 25 vs. Modifier 57
Your modifier 25 claims should meet all of the following criteria: The E/M occurs on [...] - You Be the Coder:
Don't Automatically Combine ER and Office Visits
Question: If a patient was seen for an office visit (99214) first and then later [...] - Clip and Save:
Keep This Chart Handy to Help Quickly Calculate Exam Levels
Be sure you choose the guidelines that will be most advantageous to your coding. With [...] - Reader Question:
Stress Time Documentation Requirement for Discharge Coding
Question: The doctor admitted a patient and then discharged the patient five days later. Before [...] - Reader Question:
Include Phone Work in Next E/M Code
Question: From his office an oncologist reviews lab test results and, by telephone, orders additional [...] - Reader Question:
Check for Bundling Before Attaching Modifier
Question: Sometimes I cannot find the two codes I intend to bill in the CCI [...] - Reader Question:
ICU Does Not Automatically Support 99291-99292
Question: After a patient with chest pain “coded” in the ER and was admitted to [...] - Reader Question:
Identify 3 'Vitals' Before Adding to Exam
Question: Would you please explain how taking the vital signs contributes to determining the E/M [...] - Reader Question:
Assign a Physician, Not PA, for Initial NF Visits
Question: I am receiving denial C0-170 (Payment is denied when preformed/billed by this type of [...]
