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 - 2015 Issue 5
Inpatient E/M: 5 Steps Walk You Through Top-Notch Inpatient Consultation Coding
Know when to apply modifier AI for proper payment.
When your physician provides consultation services in the hospital, the coding is not always cut and dry. You’ll need to pay attention to place of service, follow-up services, and more to ensure your provider gets the reimbursement he deserves.
Follow these five steps to avoid common inpatient consultation coding pitfalls and set your practice on the right path toward compliance and reimbursement success.
1. Site of Service Decides Patient Status
First, determine your provider (or another) has admitted the patient as an inpatient. The reason is that...
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