2021 E/M guideline and leveling changes

August 24, 2020

Why practices should not fear new coding requirements

New 2020 HIT regulations: is the patient's story heard?

February 03, 2020

CMS rules to simplify E/M coding and reemphasize patient narrative.

Non-physician provider use of E&M codes

January 15, 2020

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

Managing your payer mix to improve your bottom line

August 07, 2019

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 for preventive care and chronic care management

June 17, 2019

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

Required documentation for 99214 coding

February 05, 2019

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.

Medicare on medical necessity and more on time-based coding

January 02, 2019

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

A legal look at the 2019 Physician Fee Schedule

November 15, 2018

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

Coding for wellness visits and time-based statements

October 22, 2018

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.

The real cost of falsifying claims

September 20, 2018

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