CCM Under the Microscope: Are Your Providers Documentation-Ready?

Compliance, CPT, E/M Coding & Auditing, Evaluation & Management: 2021 & Beyond, Procedural Coding & Auditing, Revenue Cycle ManagementLeave a comment

CCM Under the Microscope: Are Your Providers Documentation-Ready?  Written by: Christine Hall, CHC, CPC , CDEO, CPB, CPMA, CRC, CEMC, CPC-I Chronic Care Management (CCM) services are getting extra attention from Medicare Administrative Contractors (MACs) as part of their Target, Probe, and Educate (TPE) program. They are closely reviewing CCM claims for possible misuse, which…

Before You Bill Incident To—Is the Treatment Plan Really There?

Compliance, CPT, E/M Coding & Auditing, Evaluation & Management: 2021 & Beyond, Procedural Coding & Auditing, Revenue Cycle ManagementLeave a comment

Before You Bill Incident To—Is the Treatment Plan Really There? Scott Kraft, CPC, CPMA, CEMC, CPA-RA Whenever you perform an audit under Medicare’s Incident to billing rules, you’re really auditing two different things. First, did the visit note support the code assigned and whether it included any documented changes to the patient’s treatment plan.  Second,…