How is your practice fairing with the switch to ICD-10. Hopefully, it has been a seamless transition. Regardless of your ICD-10 experience, this 20 minute video is worth a look. Includes detailed discussion of changes, tips and more… Relevant Search Terms: external cause codes, diagnosis coding, Z codes
Billing for Services Provided by Medical Students
Updated September 18, 2018 Coding. Why does it keep changing? This video has been removed because the rules related to these services have changed. We have provided links to updated content at the end of the post. Can you bill for services performed and documented by a medical student? The resources below explain Medicare teaching […]
Billing for Nurse Visits
99211 is the established patient E/M services code for services that do not require the presence of a physician, often referred to as nurse visits. What are some examples of this type of service? When can it be billed and when can it NOT be billed. This short video answers frequently asked questions about nurse […]
Can I Code at a Higher Level If Everyone in the Exam Room is Crying?
This short video addresses your questions about coding a higher level of service due to patient behavior. Includes CPT® guidelines, tips on selecting level of service, and documentation requirements…
Surgical Modifiers
This article includes: Surgical modifiers with definitions Guidelines for billing multiple surgical procedures Modifiers in the post-op period Avoiding CPT® modifier mishaps Citations Members can also download the Global Surgery Coding Guide. Some of the information in this article and in the billing guide is the same. Billing for Surgical Services Before submitting a claim […]
Definitive Guide to Documenting Time | Reference Sheet
Office visits, inpatient care, prolonged services, critical care…properly documenting time can help ensure that you receive the maximum allowable payment for the time you spent with the patient. Use this handy reference guide to make sure your documentation includes all the necessary components.
Can I Get Paid for…an Office Visit the Same Day as a Minor Procedure
Can you bill an E/M service on the same day as a minor procedure? Sometimes yes, sometimes no. The decision to perform a minor procedure is included in the payment for the procedure, unless a significant and separate E/M is needed, performed and documented. Watch this short video to learn more.
Can I Get Paid for…My Nurse Doing Ear Lavage
The nurse flushed the patient’s ear so I could examine the TM. Free or Fee? Find out more about billing for ear lavage done by nursing staff in this brief video. Back to list Relevant Search Terms: 69209, 69210, cerumen, removal, irrigation,
Can I Get Paid for…Emergency Services in the Office
The patient called for an urgent visit that disrupted your regularly scheduled office hours. Can you get paid at a higher level for providing emergency services in the office? Back to list Relevant Search Terms: 99050, 99058, 99059, add on, codes
Can I Get Paid for…Signing the Home Health Certification Form
An Overview of Home Health Certification CPT® CMS pays a small fee for the planning, certification, supervision and re-certification of home health services. Don’t do the work and forget to get paid. Find out more about getting paid to sign the home health certification form in this brief video from CodingIntel dedicated to home health […]
Can I Get Paid for…Care and Transfer of Sick Newborn
Coding. Why does it keep changing? The post you are looking for was out of date, and we removed it. For the most up-to-date information about coding for newborn services, see our Newborn and Pediatric Coding Guide. This guide covers inpatient and critical care services for newborns, including transfer of care to a higher acuity facility. […]
Can I Get Paid for…Nurse Visits
Nurse visits – when can you bill for them, and when are the services of the nurse just part of the cost of doing business? Back to list Relevant Search Terms: 99211, incident to, nurse visits
Can I Get Paid for…Phone Calls
Coding. Why does it keep changing? The post you are looking for was out of date, and we removed it. You might find these articles about telehealth, Digital E/M, and virtual services to be helpful. Back to Can I get paid Relevant Search Terms: 99441, 99442, 99443, 98966, 98967, 98968, coordination of care, telephone calls
Can I Get Paid for…Travel Counseling
So your patient is going to the Galapagos, and wants your advice. Can you get paid for travel counseling? This short video has the answer. Back to list Relevant Search Terms: 99401,99404, immunizations, preventive medicine
Can I Get Paid for…Student Services
Coding. Why does it keep changing? The post you are looking for was out of date, and we removed it. You can find a complete list of teaching physician coding resources here. Back to “Can I get paid…” Relevant Search Terms: teaching physician, rules, student services, Medicare rules, medical students
Can I Get Paid for…a Problem Oriented Visit and Wellness Visit on the Same Day
Patients who come into the office for a physical or wellness visit often have a problem they want to discuss, or chronic conditions that need to be assessed and managed. Whether the patient is receiving a preventive medicine service or a Medicare wellness visit, the decision is the same. Report both services when the practitioner […]
Can I Get Paid for…Evaluation Prior to Surgery
The surgeon evaluates a patient, and determines that surgery is needed. Can the surgeon get paid for this initial service? Watch this short video about billing for evaluation prior to surgery. See also modifier 57. Back to list Relevant Search Terms: modifier 57, global surgical package, global surgery
Can I Get Paid to…Discuss End of Life Planning with a Patient’s Child
In 2016, CMS began paying for physicians, NPs and PAs to have a discussion about end of life planning with patients. Find out more in this short video. Relevant Search Terms: 99497, 99498, advance care planning, advance directive, end of life planning
Can’t I Bill TCM for all Discharged Patients? Rules and Comments
An Overview of Transitional Care Management for Discharge “I can bill all discharges with Transitional Care Management codes. They’re all moderate complexity” Recently, a client wrote to me about a physician who wants to use the Transitional Care Management (TCM) codes for all discharges. The physician stated that all patients who were discharged from the […]
Non-Face-to-Face Prolonged Service – 99358
This article covers: CPT® Rules for Prolonged Care Non-Face-to-Face Using 99358 for Phone Calls There are two time-based CPT® codes for non-face-to-face prolonged care services. These codes may not be used on the day of an Evaluation and Management (E/M) service, such as an office visit or hospital service. Physicians and other qualified health care […]
End Confusion About Modifier 57 (and get paid for initial evaluations)
Use modifier -57 at the visit for the decision for surgery, when surgery is scheduled for that day or the next calendar day A surgeon should always be paid for an E/M service that is the initial evaluation prior to a major surgery. The E/M service may occur days or weeks before a scheduled surgery, […]