tci E/M Coding Alert - 2015 Issue 8

Unlock Observation Pay By Getting to Know the Timing Rules

Check the clock before you code. With multiple code sets for different types of observation services, plus confusing time regulations governing what to report and varying payer policies, coding for your providers’ observation services can be a real nightmare. Take a look at this expert advice to solidify your observation coding skills. Caution: The following rules for coding observations are for Medicare, and payers that follow Medicare policies. “Practices need to check with third-party payers to determine if they follow Medicare guidelines for observation,” advises Mary I. Falbo, MBA, CPC, CEO of Millennium Healthcare Consulting, Inc. in...

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