decisionhealth Newsletters, Answer Books - 2009 Issue 1 (January)
Coumadin Clinics / Protime and 99211_Medicare's words
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Article Overview
This article reviews CMS commentary on Coumadin clinic encounters and how Medicare views anticoagulant monitoring in relation to lab testing and office visit reporting. It is aimed at coding and billing professionals who need to understand the documentation themes, service distinctions, and general framework for determining when a visit may be separately considered.
Why This Topic Matters
It helps readers recognize that anticoagulant clinic encounters may involve different kinds of services and documentation, which can affect how the encounter is understood for billing and coding purposes.
What You Will Learn
- The general Medicare perspective on anticoagulant monitoring encounters
- How documentation themes relate to clinic visit reporting
- The broad distinction between laboratory testing and evaluation services
- The kinds of encounter elements CMS says may be reflected in the medical record
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physician practices
- Anticoagulation clinic staff
Codes Discussed
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