Internal Medicine Coding Alert
IN BLACK & WHITE
Published on Sun Jan 22, 2006 
PDF
PDF
According to chapter 12, section 30.6.1 of the Medicare Claims Processing Manual, "Medical necessity of a service is the overarching criterion for payment in addition to the individual requirements of a CPT code. It would not be medically necessary or appropriate to bill a higher level of evaluation and management service when a lower level of service is warranted. The volume of documentation should not be the primary influence upon which a specific level of service is billed. Documentation should support the level of service reported. The service should be documented during, or as soon as practicable after it is provided in order to maintain an accurate medical record."
Other Articles in this issue of
Internal Medicine Coding Alert
- Nail Down Your Lung Diagnoses With These ICD-9 Coding Tips
Focus on acute conditions and exacerbations to select the right code Your key to correctly [...] - Look for Keywords to Support COPD
Physicians will base an initial COPD diagnosis on several factors, and the best documentation will [...] - 3 Lessons Can Boost Your Supervision Level Expertise
Code requires personal supervision? Make sure the doctor is in the room Supervision levels can [...] - Don't Use the 'Loophole' to Bill All Visits as 99215
Surprise! CPT and CMS require medical necessity for all E/M visits If you are a [...] - IN BLACK & WHITE
According to chapter 12, section 30.6.1 of the Medicare Claims Processing Manual, "Medical necessity of [...] - YOU BE THE CODER ~ Answer 5 Questions to Determine Significance
Question: How can I tell if a problem that the internist diagnoses at a preventive [...] - READER QUESTION ~ Don't Expect G0102 Payment
Question: I know CMS has released bulletins saying G0102 (Prostate cancer screening; digital rectal examination) [...] - READER QUESTION ~ Confirm Diagnosis Before You Report It
Question: If the physician hasn't indicated ECG results in his final diagnosis, should I code [...] - Save Time and Trouble by Using ABN Correctly
Learn the basics of this common document An advance beneficiary notice is a written notice [...]
View All