Can someone give me an example of this? Can you tell me when a Diagnostic Lead Evaluation is necessitated? I’m having a derp moment. :confused:
Thanks,
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Download your Free copy of my "Medical Coding From Home Ebook" at the top right corner of this page 2018 CPC Practice Exam Answer Key 150 Questions With Full Rationale (HCPCS, ICD-9-CM, ICD-10, CPT Codes) Click here for more sample CPC practice exam questions with Full Rationale Answers Click here for more sample CPC practice exam questions and answers with full rationalePer the final rule regarding the CMS (Centers for Medicare & Medicaid Services) evaluation and management (E/M) documentation guideline changes for office/outpatient visits (released November 1, 2018), the following office outpatient visit documentation changes will be implemented January 1, 2019: History and exam documentation for established patients for E/M office/outpatient visits The current 1995 and 1997 […]
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Any guidance is appreciated!
Thanks!
Kathleen
Typical post-operative care, including related evaluation and management is not separately reportable; but, an unrelated evaluation and management service during a postoperative period may be. According to the Centers for Medicare and Medicaid Services (CMS), an E/M service provided during the global period of a procedure is unrelated if: • The E/M service is for […]
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According to CMS, Evaluation and management (E/M) codes are the most frequently reported—and the most audited. In a study referred to by CMS, the OIG noted that 42% of claims for E/M services were incorrectly coded. Medicare reports a 65-70% error rate for codes 99215, 99223, and 99233. Upcoding and the misuse of modifier 25 are problematic. Widespread issues include the inherent subjectivity involved in E/M coding, as well as insufficient documentation to support code choice.
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I was wondering if someone could help me. A patient has an loop recorder placed at the beginning of the year. Our provider did an interrogation of the device CPT 93298. The Motoring of the device was from 06/01/18 to 06/30/18. The provider read and dictated the report on 07/02/2018. What DOS do you use when reporting CPT 93298. Do you use the DOS that the monitoring started on 06/01/2018 or the DOS the provider read it, 07/02/2018. IF you do know what DOS to use, can you please provide the guidelines that are to be used. Thank you in advance.
If you’ve read about the Centers for Medicare & Medicaid Services’ (CMS) proposed changes for the documentation, coding, and reimbursement of outpatient evaluation and management (E/M) service codes 99201-99215, you probably have some questions (If you haven’t read about the changes, do it!). Now, CMS is providing some answers. Following remarks by CMS Administrator Seema Verma, […]
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In its 2018 Physician Fee Schedule Proposed Rule, the Centers for Medicare & Medicaid Services (CMS) suggested that it was open to the idea of revising the current (1995 and 1997) E/M Documentation Guidelines, and solicited comments from “a broad array of stakeholders, including patient advocates, on the specific changes we should undertake to reform […]
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