tci Medicare Compliance & Reimbursement - 2019 Issue Q3

Compliance: Tackle 99285 Questions With 3 Tips

Find out when 99285 is warranted — and when it’s not. Whether you bill 99285 for every encounter or you reserve this high-level code for only the rarest cases, your documentation must be airtight. That’s why knowing the ins and outs to ensure your notes are in line with the guidelines is critical. Read on for an emergency department (ED) refresher on how to bill this high-level code. Context: In a recent comparative billing report (CBR), RELI Group Inc. in coordination with the Centers for Medicare and Medicaid Services (CMS), found that some EDs utilized CPT® code...

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