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E&M

Getting Paid in a New Era

Practices have to get tougher about patient collections in this era of high-deductible plans.  Here are a few collection strategies that can reduce this potential headache.

E&M

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This month's coding column looks at whether or not you can count addressing routine chronic conditions without a change in plan of care as E&M.

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This month's coding questions tackle whether physicians in the same group practice in the same specialty have to bill as a single doctor.

"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.

Answers from our coding expert on questions regarding new versus established patients; split/shared E&M; 92060 requirements; and same-day admit/discharge.

Our coding expert discusses coding for unspecified diagnosis at the time of encounter; a problem-focused exam; and scribe services.

Answers from our coding expert on questions regarding benchmarking resources; 92225 vs. 92226; procedures in visit notes; and chronic care management.

Over the summer CMS added four new modifiers that will require a much greater degree of specification when coding surgical procedures.

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