E/M Documentation and Coding

How to Properly Report Prolonged Evaluation and Management Services

Have you ever had a patient take more time with the provider than they were scheduled for? Do you understand which codes to report and the rules that govern them to allow for better reimbursement?

Combined Deskbook Resources

Please wait while we redirect you to the deskbook resource page.
If you do not redirect in a few seconds click this link

  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  
  

Redirected to FindACode

Have you ever read a physician office note and thought it was strangely familiar?  Or, not just familiar but identical to another note?

 Medicare contractors have noted an increased frequency of medical records with identical documentation across services.  We will also review multiple E&M services for the same providers and beneficiaries to identify electronic health records (EHR) documentation practices associated with potentially improper payments.  

What is the difference between the two sets of Guidelines?

Services at Other than Regularly Scheduled Office Hours

Problem

Leaving money on the table for services that are performed after hours and at other special times.

From a CPT coding perspective there are special adjunctive codes that are used in addition to the basic service(s). This code series ranges from 99000 to 99099.

Within this series are important codes that deal with special service situations. These codes include services at "other than regularly scheduled" office times.

Evaluation and Management Coding (E/M); New Patients and Modifiers

When you talk about coding and billing, “New” isn’t always “New.”

Telehealth Psychiatric Service (Resource 283)

Telehealth (also known as telemedicine) is playing an ever increasing roll in the reimbursement process. Internet services continue to expand and many insurance payers/providers are now covering (paying for) telehealth services. Telepsychiatry (providing behavioral health services in a telehealth environment) has been highly successful because video conferencing makes providing psych services as realitvely simply and inexpensive process.

Subscribe to RSS - E/M Documentation and Coding