2023 Coding Conundrums

Why This Topic Matters

It helps readers recognize that early claims may be affected by 2023 E/M updates, deleted consultation codes, Medicare processing behavior, and prolonged-service reporting changes that can influence denials and follow-up work.

Article Sections

1. 2023 E/M and claims-processing concerns

   An overview of early-year billing concerns tied to 2023 evaluation and management changes and the need to monitor claim performance after the new year.

2. Consultation coding and Medicare denials

   Discussion of consultation reporting concerns and the way Medicare claim acceptance and denial behavior affects submitted services.

3. Observation services and system glitches

   Coverage of observation-related claim processing issues, affected dates, and the need to review denials for possible system-related errors.

4. Prolonged services reporting

   A general look at prolonged service reporting for hospital, nursing facility, and home or residence settings, including the operational questions raised by the new structure.

5. Claim monitoring and peer networking

   Closing remarks on tracking denials, sharing information with colleagues, and watching for additional coding or processing issues during the year.