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Tag Archives: CPT

Auditing Time-Based E/Ms Under 2021 Guidelines

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASDecember 24, 2021

  December 24, 2021 | By Grant Huang, CPMA, CPC The 2021 E/M guidelines’ more permissive rules for time-based coding is a potential watershed moment for physicians who want to spend less of their time documenting E/M notes. But if we interpret these changes to mean that the longstanding concept of “medical necessity” can be…

CMS: Bill 99211 for COVID-19 Specimen Collection

COVID-19, E/M Coding & AuditingBy NAMASMay 22, 2020

  May 22, 2020 | By Pam Vanderbilt, CPC, CPMA, CPPM, CPC-I, CEMC, CEMA, CEMA-O NAMAS, like other professional organizations, has a network of compliance professionals who are diligently culling through the multiple interim final rules and daily barrage of e-mails about temporary relaxation of guidance for reporting provider services. This information has become nightly…

Medical Necessity, Medical Decision Making, and 2021 E&M Changes

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASJuly 17, 2020

  July 17, 2020 | By Pam Vanderbilt, CPC, CPMA, CPPM, CPC-I, CEMC, CEMA, CEMA-O By now everyone has heard that we will no longer have to score history and exam components to determine an E&M code level for the office/outpatient CPT codes 99202-99215, beginning January 1, 2021. Instead, we will use new methods for…

Understanding MDM in 2021 – Part 3: The Sky is Falling!

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASSeptember 18, 2020

  September 18, 2020 | By Pam Vanderbilt, CPC, CPMA, CPPM, CPC-I, CEMC, CEMA, CEMA-O One of my favorite bedtime stories, when I was younger, was Chicken Little. Part of the reason it is a favorite is because I remember my father’s voice and facial expressions when Chicken Little exclaimed “The sky is falling! The…

It’s Beginning to Look a Lot Like Christmas!

E/M Coding & Auditing, Evaluation & Management: 2021 & BeyondBy NAMASDecember 11, 2020

  December 11, 2020 | By Pam Vanderbilt, CPC, CPMA, CPPM, CPC-I, CEMC, CEMA, CEMA-O There is a long-standing rule in our family that Christmas is not allowed to start until the Thanksgiving dinner dishes are washed and put away. I must be completely honest; that family rule has been thrown out the window this…

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