Coding & Documentation

The ongoing battle to get patients the treatments they need is a major contributor to physician burnout.

If you don’t identify the coding issues, know that your potential buyer will.

Medicare’s new G2012 code for virtual check-ins may lead to cost savings. It could also cost patients money and potentially cost providers in patient satisfaction.

Don't worry. Romance is alive and well. 

In order to justify the Level 4 E/M visit, make sure you have recorded all necessary information-and clearly label it for the payer auditor to easily find.

How to code varies on the circumstances. Many coding scenarios are determined by context-not absolutes.

How CMS’ final rule will affect documentation, time-based billing.

This month’s coding questions look at how timing plays a role with annual checkups and the stipulations that must be met for coding by time.

Coding expert Bill Dacey answers your latest coding questions, including an inquiry on why Medicare denied an initial visit claim.

Physicians must take action and try to get paid accurately for their services.

How to make the most of your time at the Medical Group Management Association (MGMA) annual conference, according to President and CEO Halee Fischer-Wright, MD, and COO Todd Evenson.

A recent $65M False Claims Act settlement highlights physicians' responsibility to provide the best care as well as correctly document and appropriately code it.

Unfortunately, preventative care doesn't prevent physicians from dealing with reimbursement woes.

How to meet patients wherever they are-and ensure you can get paid for telehealth and virtual check-ins.

Use these tips to ensure you choose the right medical coder for your practice, and that the coder chooses you back.

Nurse practitioners, physician assistants, and other advanced practice clinicians may have different coding requirements, adding another layer of complexity to the coding process.

Payer claim auditing specialist Angela Miller shares what practices need to know to understand and prepare for payer audits. 

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.