A New Element of MDM: Social Determinants of Health
March 26, 2021 | By Janee’ Black, CPC, COC, CPMA The American Medical Association (AMA) recently released changes to the current Evaluation and Management (E/M) documentation guidelines for the…
Critical Care Billing: It’s the Little Things
February 19, 2021 | By David Carpenter Critical care billing is relatively simple. Documentation requires three items – The patient is critically ill. What the provider is doing…
Let’s Do the Time Warp… Again!
February 12, 2021 | By Pam Vanderbilt, CPC, CPMA, CPPM, CPC-I, CEMC, CEMA, CEMA-O A few weeks ago, NAMAS presented a webinar about 2021 time and prolonged services.…
Why Analyzing Your E/M Data is Crucial in 2021
February 5, 2021 | By Paul Spencer, CPC, COC As coders, auditors, and practitioners, we now find ourselves one month into the new world of outpatient evaluation and management…
How (and when) to credit “Decision Regarding Hospitalization”
January 29, 2021 | By Scott Kraft, CPMA, CPC One of the big changes in the new E/M Documentation Guidelines for 2021 for office and outpatient service codes 99202-99215…
The Year of the Audit: Stand Your Ground with Payers
January 22, 2021 | By Sean M. Weiss, CHC, CMCO, CEMA, CPMA, CPC-P, CMPE, CPC Welcome to 2021, “y’all” – as we say down yonder in the beautiful South!…
Auditing Critical Care Services
January 15, 2021 | By Stephanie Allard, CPC, CEMA, RHIT CMS defines critical care as “the direct delivery by a physician(s) of medical care for a critically ill or…
Better late than never: Stimulus bill salves pain of conversion factor cut, also delays G2211
January 7, 2021 | By Grant Huang, CPC, CPMA The 2021 Physician Fee Schedule (PFS) had included the largest one-year reduction to the Medicare conversion factor (CF) in more than…
Changes to Stark May Require Tweaks to the Physician Compensation Formula
January 8, 2021 | By David Glaser In early December, the Centers for Medicare and Medicaid Services (CMS) issued new rules that dramatically revise the Physician Self-Referral Law, commonly…
The SOAP Note Revisited in 2021
January 1, 2021 | By Shannon DeConda, CPC, CEMC, CEMA, CPMA, CRTT While conducting a 2021 E&M Physician Training event for a client, like right in the middle of the…