Coding & Documentation

Clinicians should make sure they clearly document the patient's level of risk when comorbid conditions are present.

This physician wonders how to get around documenting the "I saw and examined" clause in every patient record.

Does prescribing a new medication qualify as a moderate level decision making?

Can this doc bill for both health maintenance and a problem-based visit on the same day, if counseling is involved?

Today's practice managers must plan proactively for the new year - finding new ways to cut costs and improve efficiencies.

Coding for observation services can be confounding. Currently, CPT and CMS disagree on which code to report on the second day of observation. In 2011, that is changing.

Can this physician bill for monitoring OB patients in the outpatient setting if he is physically not present?

Can you still use the consult code for Medicare and private payers?

New Medicare coverage for smoking cessation counseling

This physicians wonders why he doesn't get paid for performing a pulse ox.

The 1995 and 1997 CMS guidelines for E&M services are still topical.

How many new codes will there be in the ICD-10 CM and PCS code sets?

Can this provider choose elements from both a multisystem and single organ system exam?

Even though there is a CPT code for completing patient forms, many payers do not reimburse physicians for that service.

This physician is billing for blood draws in the hospital outpatient setting.

Billing for a patient seen on the same day, in the same group, by two different providers.

How should this physician bill for a locum tenens provider?

This physicians wants to know who should bill for a hospital admission: the surgeon or hospitalist?

Medical coding guidance on prevention planning; the ICD-10 transition; ABN advice; and more.

Now that consult codes are gone, how does this doc code for visiting her patient in the ER?

How many systems need to be documented for a detailed exam?

While medical necessity is the primary criteria for payment, medical decision making counts too

Meeting the requirements for critical care in the office

Chief complaint or history of present illness?

Medicare's E&M codes by speciality