Coding & Documentation

Sometimes, the difficulty in treating patients lies in knowing how to code their ailments.

Coding expert Bill Dacey reacts to CMS’s 2019 proposed Medicare Physician Fee Schedule that would collapse office Evaluation and Management code levels-and payment rates.

A look at recent lawsuits the U.S. Department of Justice has pursued for illegal upcoding, downcoding, and excessive coding claims.

Here are five reasons why CMS’s proposed Physician Fee Schedule for Evaluation and Management guidelines might improve patient care.

The lesser known follow-up to Dan Brown's international best seller, "The Da Vinci Code," is ICD-10,  featuring less clues but plenty of confusing codes. Get your hands on a copy today!

Take time to clarify the midpoint rule, review CMS’s proposed guidelines for Evaluation & Management, and ask why you’re being instructed to change billing codes.

Coding expert Bill Dacey explores coding for ongoing wound care and unexpected, extended care for a diabetic patient.

Untap hidden revenue and stop leaving money on the table by reviewing your Evaluation & Management coding.

Is a phone message sufficient to use the TCM coding series? Plus, guidance on advanced care planning codes.

This month's coding questions tackle the issue of problem “status,” TCM codes, and "quality" coding.

Coding expert explains why we don't typically see a 99397 and an AWV, and why Medicare discourages this from happening.

In this month's coding column, our expert answers whether or not you need to include vitals when coding a patient encounter.

In this month's coding column, expert Bill Dacey says requirements around the new code 93793 are unknown.

This month's coding questions look at coding for transition of care for a nursing facility patient and on Annual Wellness visits.

It's the time of year to update your fee schedule. Do you know where to find your contracted rates?

This month's coding questions look at the difference between a 99243 vs 99244 in a consulting capacity.

What do practices need to know about coding for advance care planning? Here is some guidance from the AAPC's John Verhovshek.

How do physicians need to manage hypertension - from a coding perspective - in the age of quality-based care?

This month's coding questions include what to do with the ROS section of the EHR and whether or not to bill a physical during a follow-up.

Did you know that your insurance payers have very specific rules that you are required to follow? Don't leave money on the table.

Coding expert Bill Dacey answers questions on the correct definition of 'contact' and the 'mid-point rule' during a medical visit.

When do you use modifier 25 or 57? Coding expert John Verhovshek explains the difference when coding an E&M service.

Your team of physicians, administrators and lawyers can help you get what you rightfully owe using data-driven tools.

E&M coding guidelines are finally changing after 20 years, but don't celebrate yet. These changes may be worrisome to practices

What happens when a patient presents with a condition that there is currently no billing code in the system for? This doctor finds out the hard way.

Coding expert Bill Dacey has some of the most recent updates to the coding manual. What do you have to know for 2018?

This doc found out the hard way that medical coding for a single patient can be a cumbersome time suck.

Should you hire an in-house coder or outsource? Do you need to hire one at all? Answers to these questions and more.

Physicians need to document care in the EHR, but they can either keep the computer out of the room or embrace it to focus on the patient.

The coding rulebook is always changing. Here are strategies from our two coding experts to help you stay compliant.