tci E/M Coding Alert - 2018 Issue 2

Specialty Spotlight: Pulmonology: Look to E/M Documentation for PAP Approvals

And document compliance with follow-up E/M. Positive airway pressure (PAP) devices can be a godsend to patients with obstructive sleep apnea (OSA). But they can also be a nightmare if your documentation doesn't support coverage. So says Michael Hanna, MPA, CDME of CGS Medicare. In a Dec. 12, 2017, webinar, Hanna provided valuable advice to pulmonologist coders, reminding them that Medicare - and many other payers - won't cover durable medical equipment (DMEs) such as PAPs unless you provide detailed information about your physician's initial, and follow-up, evaluation and management (E/M) encounters with the patient. E/M Must Support PAP...

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