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Level 4 Documentation; RN Reimbursement
Answers from our coding expert on questions regarding Level 4 documentation and RN reimbursement.
Complex Care Coordination; Counseling Code Confusion
Answers from our coding expert on questions regarding discharge code requirements; complex care coordination; and counseling code confusion.
Who Can Perform the AWV; Coding for Urea Breath Tests
Answers from our coding expert on questions regarding the Medicare Annual Wellness Visit; urea breath tests; counseling time; and consultations.
Single Note for Admit/Discharge; Confusing HPI Elements
Q: When a patient has been admitted and discharged on the same day, can one note support a same day admit/discharge code?
Internal Audit Pass Rates; Nonphysician Credentialing
Our practice does internal chart reviews on our physicians for coding accuracy. What do you feel is an appropriate passing score?
Maximizing Reimbursement; New Practice, Old Patients
Get coding guidance on billing for a family medicine group; patients being seen at a new practice; and more.
Attending Telephone Consults, Advanced Practitioner Consults
Get coding guidance on resident consultation via telephone; discharging patients; antepartum care; and more.
Coding Questions: Resident Billing Without a Teaching Physician
Is there any "primary-care setting" where a resident may bill the office visit without a teaching physician, other than in the primary-care exception?
Documenting Psychotherapy; Pre-screening Visits; Appropriate Use of 99211
Q: I have a provider who documents an E&M service in his note and also states that he performed psychotherapy. How should we document the time component?
Cloning the Medical Record; Dilated Eye Exam; New Patient Requirements
Question: I've read a lot about cloning in the medical record. How worried do I need to be about my EHR?
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