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Upcoding vs. Downcoding: Know the Difference
"Upcoding" means reporting a higher-level service or procedure or a more complex diagnosis, than is supported by medical necessity, medical facts, or the provider's documentation.
New Versus Established; Split/Shared E&M; 92060 Requirements
Answers from our coding expert on questions regarding new versus established patients; split/shared E&M; 92060 requirements; and same-day admit/discharge.
Problem Focused Exam; Scribe Services
Our coding expert discusses coding for unspecified diagnosis at the time of encounter; a problem-focused exam; and scribe services.
Benchmarking Resources; 92225 vs. 92226
Answers from our coding expert on questions regarding benchmarking resources; 92225 vs. 92226; procedures in visit notes; and chronic care management.
New Surgical Coding Modifiers Replace Modifier -59
Over the summer CMS added four new modifiers that will require a much greater degree of specification when coding surgical procedures.
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?
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