Medicare Compliance & Reimbursement

Don't leave $19 per visit on the table -- follow these rules to ensure you collect what's due to you. If your physician waives charging for patient visits with a nurse, your doctor could be costing your practice deserved reimbursement. All you have to do is follow these simple criteria for reporting 99211: 􀁺 The person providing the care has the necessary training to perform an E/M service. 􀁺 The documentation shows medical necessity. 􀁺 The patient is established to your practice. Heads up: Our coding experts recommend that you report 99211 (Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician. Usually, the presenting problem[s] are minimal. Typically, 5 minutes are spent performing or supervising these services) if the service meets these three principles: 1. Staff Performs an Actual E/M Visit To report 99211, a practitioner must [...]