Recorded October 31, 2019 This content is no longer current Let’s compare the current medical decision-making rules with the CPT changed rules … [Read more...]
Search Results for: medical decision making
Medical necessity isn’t medical decision making
Have you heard of Talk Ten Tuesdays? It’s an internet radio program hosted by Chuck Buck and Dr. Erica Remer, and every week they discuss current … [Read more...]
Medical Decision Making | Evaluation and Management Services
Lunch and Learn Medical Decision Making is the third key component of evaluation and management services. MDM has three components: The number … [Read more...]
Medical Decision Making | Documentation Guidelines for E/M Services
ARCHIVE The 1995/1997 Documentation Guidelines are gone beginning 1-1-2023. (Ding dong....) However, we will still need to use them when auditing … [Read more...]
Prescription drug management and medical decision making (MDM)
Whether selecting a level of service for an E/M encounter, the question arises about what counts as prescription drug management. In both sets of … [Read more...]
CMS update on medical record documentation for E/M services
The world as we knew it Both the 1995 and 1997 evaluation and management (E/M) documentation guidelines stated that ancillary staff could record a … [Read more...]
Shared Services: CPT and CMS Rules | Webinar
Shared Services: CPT and CMS Rules May 16th, 2024 @ 12:00 pm Eastern Registration will open in April. Shared services are E/M services … [Read more...]
E/M auditing | Webinar
E/M auditing Recorded April 21, 2022 In this webinar, Betsy audits three E/M notes, one primary care note, one medical specialty note, one … [Read more...]
Coding office visit codes 99202—99215 | Webinar
Coding office visit codes 99202-99215 in 2021Recorded June 12th, 2021 It's here, the first major changes for selecting an E/M service since 1997. … [Read more...]
Quick Coding Reference Sheet – Dermatology
This is the quick reference sheet that includes the 1997 single specialty skin exam.  As of Jan 1, 2023 it will no longer be in use. Why have we kept … [Read more...]
E/M Expertise: Go Beyond The Basics
Submitting a claim for Evaluation and Management services has two steps. First, the correctcategory of code must be selected; second, the level or … [Read more...]
E/M frequency data for surgical specialties
CMS releases E/M frequency data annually. A physician self-elects their specialty designation when enrolling with Medicare. Unfortunately, there … [Read more...]
Multiple E/M Services in the Same Calendar Day
The AMA has added a new subsection in the 2024 E/M section addressing how to report E/M services when there are multiple encounters in the same day. … [Read more...]
CMS’s 2024 shared or split services policy: document and report them correctly
In 2024, CPT expanded its definition of split/shared services, CMS updated their requirements. CPT expanded its definition of split/shared … [Read more...]
HCPCS Code G0136 for Assessment Social Determinants of Health (SDoH)
This is information from the 2024 Physician Fee Schedule Final Rule, released Nov. 2, 2023. New CPT and HCPCS codes, and CMS policy changes are … [Read more...]
How do we code for “meet and greet” visits?
Question: What code can I use when a patient presents to establish care, and doesn’t have any symptoms or problems? Answer: First, code or … [Read more...]
What’s New in the Proposed Physician Fee Schedule Rule
Proposed Physician Fee Schedule Rule, 2024 CMS issued the Proposed Physician Fee Schedule (PFS) Rule July 13, 2023, with a 60-day comment period. … [Read more...]
Chronic Care Management
Medicare and private payers cover chronic care management services if a patient has two or more serious conditions that are expected to last at least … [Read more...]
Transitional Care Management
This article provides answers to frequently asked questions related to transitional care management services. It includes details about billing for … [Read more...]
Shared Visits – Medicare and CPT
Medicare has specific rules for billing for nurse practitioners and physician assistants using shared services. These rules are explained in this … [Read more...]
2023 CPT® E/M Changes
Ready to learn about the 2023 CPT® E/M changes? There is a significant update to the Evaluation and Management (E/M) section of the CPT® book. There … [Read more...]
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