decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 3 (March)
MultiSpecialty Round-up: Primary Care
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Article Overview
This primary care coding article discusses how Medicare views telephone and online patient communication services when they are connected to evaluation and management activity. It is aimed at coders, billers, and clinical office staff who need to understand the general coverage and bundling framework for these services, along with the CMS guidance referenced in the article.
Why This Topic Matters
Accurate understanding of this topic affects whether a communication is considered part of an E/M service or handled as a separately reportable service, which can affect patient billing and compliance.
What You Will Learn
- How Medicare distinguishes related and unrelated patient communications in the context of E/M services
- The general coverage status framework discussed for telephone and online communication services
- Which CMS guidance source is referenced for further clarification on these services
- Why reviewing code descriptors closely matters in this area of primary care coding
Who Should Read This
- Medical coders
- Medical billers
- Primary care practices
- Compliance staff
- Revenue cycle staff
Codes Discussed
Code Ranges Discussed
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