In the expansion category of the 2021 documentation guidelines, there’s some information that may be a little confusing that would like to review with you in Today’s Take. On page 23, under Initial Hospital Inpatient or Observation Care, under the New and Established Patient, there’s a paragraph that reads a little confusing: “If a consultation…
February 10, 2023 | By Grant Huang, CPMA, CPC The realm of E/M auditing is vast, and 2023 will bring more work here than before thanks to CPT’s extensive revisions to its E/M guidelines for inpatient, facility, and home visit services — now in effect. Both compliance professionals and providers must always keep in…
THE RECAP An announcement on Monday, January 30th, by the OMB (Office of Management and Budget), and the White House, stated that they plan to end the COVID-19 national emergency and public health emergency on May 11th. The end of the emergency declarations would signal a new chapter in the Biden administration’s response to the…
January 27, 2023 | By Stephanie Allard, CPC, CEMA, RHIT A large part of the last 6 months for auditors and educators has been spent in preparation for the new 2023 revisions to the 2021 E/M guidelines. For some of the patient settings, this is a large change. While many see the 2021 E/M…
January 13, 2023 | By J. Paul Spencer, CPC, COC A major change to appeals submissions is set to begin on February 1st, 2023 that will effect practices and facilities across the country. United Healthcare (UHC) is mandating the submission of electronic reconsiderations and appeals for most types of claims and plans under their…