E&M

Practices are using E&M codes to bill for non-physician educational visits, but is this ok?

Payers don’t dole out equal pay for equal work, so it benefits your physician practice to understand who pays what (so you can negotiate more).

Coding expert Bill Dacey clears up some confusion about split billing and combination visits.

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.

Proper billing and coding under CMS’s final rule is important not only for reimbursement but also to avoid potential lawsuits.

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.

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

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

Decreasing documentation requirements leads to decreasing reimbursement for the same amount of clinical work.

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.

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

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.

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

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

Inaccurate billing and coding can have a direct and negative impact on a practice's bottom line. What are some common coding queries?

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.

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

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.

Get coding guidance on resident consultation via telephone; discharging patients; antepartum care; and more.