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Tag Archives: MDM

Coding for a Performance of an X-ray Service vs. Counting the Work as a Part of MDM

E/M Coding & AuditingBy NAMASFebruary 18, 2022

  February 18, 2022 | By Stephanie Allard, CPC, CEMA, RHIT When x-rays are audited on the same date as an E/M encounter we have one of three decisions to make about the work that went into the radiological exam when the practice owns x-ray equipment and does their own interpretations internally. First, we must…

Auditing Time-Based E/Ms Under 2021 Guidelines

2021 E&M Changes, E/M Coding & Auditing, Grant HuangBy 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…

What To Do When a Provider Reports All E/M Levels Solely Based On Time

E/M Coding & Auditing, Toni ElhomsBy NAMASNovember 26, 2021

  November 26, 2021 | By Toni Elhoms, CCS, CPC, CPMA, CRC As I am sure many of my colleagues can relate, I have frequently heard statements like, “All my E/M services are coded based on time because it’s just easier” or “I add total time to all my notes just to cover my bases”.…

Use of “Time” in Evaluation Management and Coding

2021 E&M Changes, E/M Coding & Auditing, Jill YoungBy NAMASMay 14, 2021

  May 14, 2021 | By Jill Young, CPC, CEDC, CIMC The time has come for you to consider the “new time” method to determine the evaluation and management (E&M) coding for your office and other outpatient services. I use the phrase “new time” to differentiate it from the “old time” concept you are accustomed…

Let’s Do the Time Warp… Again!

2021 E&M Changes, E/M Coding & Auditing, Pam VanderbiltBy NAMASFebruary 12, 2021

  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. The flood of participant questions made it very obvious there is still uncertainty about how to appropriately use time to select the level of office…

How (and when) to credit “Decision Regarding Hospitalization”

2021 E&M Changes, E/M Coding & Auditing, Scott KraftBy NAMASJanuary 29, 2021

  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 is the new high-risk category of “Decision Regarding Hospitalization.” As an auditor, the first thing I thought about were the situations in which a very…

It’s Beginning to Look a Lot Like Christmas!

2021 E&M Changes, E/M Coding & Auditing, Pam VanderbiltBy 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…

It’s the End of the World as We Know It!

2021 E&M Changes, Brenda Edwards, E/M Coding & AuditingBy NAMASNovember 20, 2020

  November 20, 2020 | By Brenda Edwards, CPC, CDEO, CPB, CPC-I, CEMC, CRC, CMRS, CMCS The days of 2020 are winding down and I don’t know that any of us are going to be sad to see it go. While saying goodbye to 2020 and hello to 2021, we also say hello to the…

A Trip Down the Google Rabbit Hole…Because Inquiring Minds Want to Know

2021 E&M Changes, E/M Coding & Auditing, ICD-10, Pam VanderbiltBy NAMASNovember 6, 2020

  November 6, 2020 | By Pam Vanderbilt, CPC, CPMA, CPPM, CPC-I, CEMC, CEMA, CEMA-O Pumpkin spiced lattes are back at Starbucks, the days are getting shorter, there is a crispness in the air (in some parts of the country, anyway), and the 2021 ICD-10-CM guidelines have gone into effect. These are all signs we…

Prepare Now for Gray Areas in 2021 E/M Rules

2021 E&M Changes, E/M Coding & Auditing, Grant HuangBy NAMASOctober 23, 2020

  October 23, 2020 | By Grant Huang, CPC, CPMA It’s not even 2021 yet, but gray areas have already surfaced in the 2021 E/M documentation guidelines, as more and more coders and auditors read the fine print. The 2021 guidelines, which will apply only to outpatient/office visit codes 99202-99215, are being implemented in part…

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