Three significant changes that will affect reimbursement rates go into effect January 1, 2026:
Conversion factor changes
Relative Value Unit (RVU) efficiency adjustment
Practice Expense changes
If you're a Find-A-Code subscriber, there's no need to worry. Find-A-Code's fee calculators are ready for the change. You can count on Find-A-Code for the most complete and accurate information you need as a medical coder/biller.
tci E/M Coding Alert - 2018 Issue 4
Documentation: Recognize Referral, Consultation Differences, Add to Your Bottom Line
Hint: understand payer guidelines and provide clear documentation for both services.
Most coders are aware of the difference between a patient transferring to another provider and a provider consulting on a patient problem. Yet coding for each situation can be tricky and - in the case of consultation - can impact your practice's revenue stream positively or negatively depending on your knowledge of payer preferences and your coding choices.
So, to keep your coding clear in these situations, read on, and remember to clip and save our advice on how to code consultations correctly when you're done.
Think of...
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
This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.