tci E/M Coding Alert - 2017 Issue 6

You Be the Coder: Understand Exam Levels for Other MACs

Question: Our office is located in New Jersey, and we see patients from Pennsylvania, too. Concerning last month’s article about the NGS ruling around the physical exam, can you tell me more about the rules concerning expanded problem focused and detailed exams from MACs in the states where we see our patients? New Jersey Subscriber Answer: The Medicare administrative contractor (MAC) Novitas Solutions, Inc. covers New Jersey and Pennsylvania for Jurisdiction L, as well as Delaware, Maryland, and Washington, D.C. Novitas Solutions adheres to a policy called the 4x4 method to determine if a physical exam is...

To read the full article, sign in and subscribe to tci E/M Coding Alert.


Stay informed, get answers to your E/M coding and documentation questions, and find the help you need to bank your deserved pay with your subscription to TCI’s E/M Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 500 articles
  • ALL years/issues back to 2013 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci E/M Coding Alert +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.