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Are inaccuracies in patients’ medical records costing your practice? Accurate documentation of time in the medical record serves two purposes: to ensure quality patient care and to meet requirements for reimbursement. A detailed statement concerning time spent with a patient is a critical component in the accuracy and efficacy of their medical record. When the […]
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What a difference 15 minutes can make when billing E/M services. The Centers for Medicare & Medicaid Services (CMS) issued a notice March 14 correcting several errors in the 2023 Medicare Physician Fee Schedule (MPFS) final rule. Most notably, CMS is correcting technical errors in the calculations of the time thresholds for reporting evaluation and […]
The post CMS Corrects Time Thresholds for Prolonged Services appeared first on AAPC Knowledge Center.
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The post It’s Time to Master Pathophysiology appeared first on AAPC Knowledge Center.
Timing is everything when defining and capturing the 7th character in an ICD-10-CM code. ICD-10-CM brought about new concepts for diagnosis coding, with some being straightforward and others being a bit confusing when interpreting the guidelines. One concept that is often debated is how to select the correct seventh character, representing the episode of care. […]
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The Centers for Medicare & Medicaid Services (CMS) released July 3 the 2018 Merit-based Incentive Payment System (MIPS) performance feedback and final score, which includes all MIPS eligible clinician’s or clinician group’s final scores for last year and payment adjustment factors for next year. Depending on how your clinician(s) did, now may be a good […]
The post Is It Time to Ask for a Raise? appeared first on AAPC Knowledge Center.
By Rebecca Caux-Harry, BFA, CPC One of the many benefits of working for a nation-wide company, such as 3M Health Information Systems, is visibility into payer actions from coast to coast. Many customers send us comments about payer actions and ask if we can help with some of the issues. This is an extremely valuable […]
The post Time to Step Up Our ICD-10 Excludes Education for Providers appeared first on AAPC Knowledge Center.
Not sure if I’m in the right area, I’ve asked for an ICU/Critical Care group but never got an answer from the powers at AAPC
Question – Are your providers adding their "time to document chart" to their critical care time. This has just come up recently and we are getting some that do and some that don’t. The description for 99291 doesn’t specify either way… ??
Thanks
I did spend 12 minutes today with the patient going over the above, and greater than 50% of this time and nearly the
entirety thereof was in direct patient counseling and coordination of care.
Is the work status external cause code required for correct coding even when an encounter does not specify work status, volunteer activity, student activity etc. etc. ? When such things are specified I code, however, for example, if a baby has a fall, would y99.9 be required for "correct coding".
Thanks
V. Cook, CPC
"Appointment billed for 1 hour, the majority obtaining history and trying to clarify her understanding, and whether she did have cancer, etc."
Does anyone have an opinion on whether his documentation meets the criteria for the coding guidelines?
In the case where counseling and/or coordination of care dominates (more than 50%) of the physician/patient and/or family encounter (face-to-face time in the office or other outpatient setting or floor/unit time in the hospital or nursing facility). Time is considered the key or controlling factor to qualify for a particular level of E/M services."
Thank you!