There are many pitfalls to coding compliance that could jeopardize your hospital or physician practice. Incident to billing is one of those areas many physician groups and hospitals struggle to get right.
As a healthcare professional, we're sure your health system or physician practice provides many annual wellness and preventive visits for Medicare patients. However, are you certain your Initial Preventive Physical Examination (IPPE) documentation meets the necessary requirements?
Now that more medical practices and health care facilities are utilizing electronic medical records (EMRs), regulators are finding that many records look identical in wording and elements. This can be cause for suspicion, leading to audits and claim denials. Are your medical records cloned? You should be on the look out for these documentation shortcuts and avoid them at all costs.
It's that time of year again, when the new CPT codes become effective. Make sure to get the current year’s CPT book or you could be coding inappropriately since this year, among other changes, observation codes have been revised and five new evaluation and management codes were added.
As with so many forms of healthcare delivery, coding for a new vs. an established patient can be confusing. In this month's CodingAlert, we will review how to properly code for each type of patient visit.
In calendar year 2010, the Centers for Medicare and Medicaid Services (CMS) made revisions to the payment policies under the physician fee schedule (CMS-1413-FC), eliminating the use of all consultation codes for office/outpatient (99241-99245) and inpatient (99251-99255).