Home and Nursing Facility Category of Code Rules Recorded: March 21, 2024 This webinar will explain the rules for using Evaluation and … [Read more...]
E/M services
For many practices, E/M services are what you do the most. Knowing what type of service to bill, what level of service and the rules related to the visit will decrease denials and payment delays. Here you'll find an overview, MDM and rule changes, resources organized just like your CPT book, and a bonus section with E/M frequency data.
E&M: Key up the Focus to Complexity and Risk
E&M: Key up the Focus to Complexity and Risk Recorded February 15, 2024 Special guest Shannon O. DeConda, CPC, CEMC, CEMA, CPMA, CRTT joins … [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...]
E/M Frequency Data for Dermatology
For dermatologists, revenue in the office is generated by procedures and office visits. Often, both are provided on the same day. See the dermatology … [Read more...]
E/M Frequency Data for Hospitalists
Hospitalists became a recognized specialty by CMS starting in 2017, and we now have frequency E/M data for the specialty. There are probably still … [Read more...]
E/M Frequency Data for Infectious Disease, Pulmonary Medicine and Cardiology
CMS releases E/M frequency data annually. A physician self-elects their specialty designation when enrolling with Medicare. Infectious disease, … [Read more...]
E/M Frequency Data for Psychiatrists
CMS releases E/M frequency data annually. A physician self-elects their specialty designation when enrolling with Medicare. This is the data for … [Read more...]
E/M Frequency Data for Family Medicine and Internal Medicine
CMS releases E/M frequency data annually. A physician self-elects their specialty designation when enrolling with Medicare. The panel for family … [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...]
E/M Services: High Volume, High Risk | Webinar
E/M Services: high volume, high risk Recorded October 19, 2023 According to CMS, E/M services comprise 40% of allowed charges in the … [Read more...]
A Conversation with Two Auditors: Lessons Learned about MDM | Webinar
A Conversation with Two Auditors: Lessons Learned about MDM Recorded September 28, 2023 Medical practices can prepare for audits, improve … [Read more...]
Coding for Hospital Services | Webinar
Coding for hospital services Recorded April 20, 2023 First, CPT® updated their E/M code set. Then, CMS interpreted the updates and applied their own … [Read more...]
Code Prolonged Services with Confidence | Webinar
Coding for Prolonged Services: 2023 Edition Recorded March 16, 2023 Prolonged care coding has new challenges in 2023. There are both CPT® … [Read more...]
Coding for Observation Services
CPT codes for observation services Beginning January 1, 2023 there are two sets of codes used for both inpatient status and observation level of … [Read more...]
Coding Guide – Critical Care Services
Critical care is a complex service provided to a patient who has vital organ system failure or to prevent further life-threatening deterioration of … [Read more...]
Critical Care Services
Definition and Explanation of Critical Care Service Definition: Caring for a critically ill or injured patient Explanation: Critical care … [Read more...]
Nursing Facility Visits
Definition Nursing facility visits are Evaluation and Management services provided in a skilled nursing facility or a long term nursing … [Read more...]
Category of Code
This article is from the Category of Code section in our Everyday Coding book. It provides definitions and tips for determining whether an office … [Read more...]
Coding for Prolonged Services: CPT and HCPCS Codes
Common rules: Prolonged services codes are add-on codes to E/M services. In order to use prolonged care, the primary code must be selected … [Read more...]
Codes for Visits in Assisted Living
Question: In 2023, how will we code for visits in assisted living? Answer: January 1st 2023, the codes for boarding home, rest home and … [Read more...]
Coding Hospitalist Services | Webinar
Coding for initial hospital services: examples for hospitalists Recorded November 17, 2022 Be ready for the changes to the 2023 E/M code set for … [Read more...]