Understanding New Audio-Only and Brief Telehealth E/M Codes: Documentation, Compliance, and Medicare Guidelines Written by: Gabriel Aponte Moberg The audio-only codes 98008 through 98015 require more than ten minutes of synchronous, real-time verbal communication. These services may be selected based on either total time or medical decision-making (MDM). Each code corresponds to specific MDM levels and…
Billing Compliance Conflict? Navigate It with Confidence Billing Instructions Raising Concerns? Here’s a Pro-Level Playbook Written by: Toni Elhoms | Alpha Coding Experts In the complicated world of pay-and-chase healthcare reimbursement, medical billing is not just a back-office support function, but rather a regulatory landmine for healthcare organizations! From Stark Law to the False Claims Act…
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 to treat or prevent organ system failure or compromise. How much time the provider spent providing critical care. While critical care billing is relatively simple,…
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 (E/M) services. By now, certain patterns are hopefully beginning to emerge with regard to providers’ E/M documentation. As templates change and providers make the choice…
July 3, 2020 | By Stephanie Allard, CPC, CEMA, RHIT As we move towards implementing the 2021 E/M changes, we need to evaluate areas of bad habits within E/M encounter documentation. I have noticed in my current reviews that many providers are in the habit of documenting the same exact amount of…