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Category Archives: E/M Coding & Auditing

Auditing Critical Care Services

E/M Coding & Auditing, Procedural Coding & AuditingBy NAMASJanuary 15, 2021

  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 injured patient. The care of such patients involves decision making of high complexity to assess, manipulate, and support central nervous system failure, circulatory failure, shock-like…

Better late than never: Stimulus bill salves pain of conversion factor cut, also delays G2211

E/M Coding & Auditing, News & Events, Payer RulesBy NAMASJanuary 8, 2021

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 20 years, but it won’t actually take effect because the CF is being increased as a result of provisions in the recently passed stimulus legislation.…

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