Lunch and Learn Medical Decision Making is the third key component of evaluation and management services. MDM has three components: The number of diagnoses or treatment options The amount of data that the clinician reviewed The morbidity and mortality from the Table of Risk This short video discusses the requirements for selecting the level of […]
Archives for May 2017
Psychotherapy Documentation Guidelines | Time
Question: Is it okay to use the time description in the order as the documentation of the psychotherapy time? The therapist selects 90832, Psychotherapy 16-37 minutes. Answer: That isn’t sufficient. The therapist should document the actual time of the therapy session. Selecting the correct code in the order set that says “30 minutes” or “16-37 […]
Modifiers in the Post-Op Period | Global Surgical Package
Although there is a single payment for surgical procedures that have 0, 10 and 90 global days, there are frequent instances in which the surgeon performs an additional service in the post op period, that may be reported separately, and be paid. These will require a modifier. This article discusses only four modifiers–see the coding […]