E/M Coding Alert - 2022 Issue 4
Part B Coding: Check These 2022 ED Coding and Billing Tips, Straight From Part B Reps
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Article Overview
This article is a Medicare Part B coding update aimed at coders, billers, and ED practice staff. It reviews broad 2022 reminders on code-book maintenance, claim review, modifier use, drug reporting, telehealth delivery requirements, and split/shared evaluation and management reporting. The piece is based on guidance discussed by CGS Medicare representatives during a Part B customer service webinar.
Why This Topic Matters
It helps readers understand which 2022 Part B operational and billing topics were emphasized by Medicare representatives so they can check whether the full article applies to their workflow, compliance review, or training needs.
Article Sections
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Update Your Code Books and Check Them Regularly
General reminders about keeping current coding references and reviewing claims before submission. Focuses on maintaining coding resources and verifying documentation support.
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MAC Customer Service Reps Can’t Choose Your Codes
Discusses the limits of Medicare customer service support and the need for internal review of records and resources. Covers the role of documentation in code selection at a high level.
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Mind Your Modifiers
Covers modifier awareness in the context of bilateral or repeated procedures, claim editing, and related Part B billing concerns. Includes discussion of edit-related denials and appeal preparation at a broad level.
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Appeal in a Timely Manner
Addresses the appeal process after claim denials and the importance of acting within required time frames. Mentions checking MAC-specific appeal procedures.
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Identify Drugs You Inject/Infuse
Explains the need to report medications appropriately on facility claims when drugs are administered. Focuses on billing completeness for injectable and infusible services.
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Know the Telehealth Device Rules
Reviews Medicare telehealth delivery requirements during the public health emergency and the general technology expectations described by the article. Also covers audio-only telehealth billing topics at a broad level.
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Understand Split/Shared E/Ms
Summarizes 2022 split/shared evaluation and management reporting updates for emergency department visits. Covers substantive portion concepts and the documentation/billing implications discussed in the article.
What You Will Learn
- How the article frames 2022 Medicare Part B coding and billing updates
- Which broad topics are covered for emergency department, telehealth, and split/shared E/M reporting
- What kinds of documentation, modifier, and appeal issues the article addresses
- Which organizations and guidance sources are referenced in the update
Who Should Read This
- Medical coders
- Medical billers
- Emergency department billing staff
- Compliance staff
- Physician practice managers
- Medicare Part B providers
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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