CMS E&M Changes: Some MACs are Getting it Wrong

RACmonitor launches an occasional series, “RAC Rants,” with this first post by past president of the Healthcare Business and Management Association (HBMA) Holly Louie. Entries are welcome at editor@medlearnmedia.com. The…

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10 Commandments of E/M

Protect the integrity of your practice’s medical records with this sage advice. Evaluation and management (E/M) services are likely the most regulated and most often audited services in medical practices.…

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Clarifications make E/M changes easier to implement

Refinements continue for the evaluation and management (E/M) office-visit and outpatient documentation and coding reforms that took effect this year, and these include technical corrections updates to the Current Procedural…

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The Devil is in the Data: A Detailed Look at MDM Changes for 2021

Major changes are found in the 2021 Evaluation and Management guidelines. As we enter the final quarter of 2020, I hope everyone is committed to being prepared for the 2021…

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E&M Changes: How Will They Affect Your Practice?

More changes are likely coming. As many of you have heard, there are major changes coming to evaluation and management (E&M) codes in 2021. The changes were finalized in the…

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E/M prep: Avoid these pitfalls in move to new office-visit codes

New Medicare office-visit coding guidelines take effect Jan. 1, 2021, and are designed to be more intuitive and make unnecessary documentation tasks go away. Experts believe the transition will be…

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MPFS 2020 Proposed Rule: E/M Blended Payment for 2021 Is Dead

Another day, another change to E/M plans for 2021! Medicare has released the 2020 proposed rule for the Medicare Physician Fee Schedule (MPFS), bringing in the recent AMA plan to…

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Split/Shared E&M Policy Found to be in Error

You might think that you could rely on the accuracy of a Medicare Administrative Contractor (MAC) policy, but apparently, you can’t.  First, I’d like to extend thanks to my colleague…

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Concussion coding doesn’t have to give you a headache

Billing and coding is always a challenge, but optometrists new to the field of neuro-optometric rehabilitation can find it doubly so, because the charting notes required are very different from…

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3 billing codes physicians should use

Doctors and practice administrators are always looking for how to maximize profits. As a coding/billing consultant, chart auditor, and educator, I’m often asked about ways to improve coding. Here are…

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You Should Worry about Medical Coding Guidelines Changing

Changes are coming with Evaluation and Management (E&M) coding guidelines. I will use this space to explain why these changes will be both a good thing and a challenge to…

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ICD-10 and DSM-5: A Unique Teaching Curriculum

Much has been written about the pro’s and con’s of the ICD-10 delay. To date, CMS has yet to issue the new deadline, or provide guidelines for how organizations are…

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Urinary Incontinence Evaluation and Management

The evaluation of UI has as its goal confirmation of the diagnosis, identification of any reversible causes, and identification of factors that require further diagnostic or therapeutic interventions

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