tci Medicare Compliance & Reimbursement - 2011 Issue 7

Medicare Error Rates: Reporting 'Low-Level' 99211? You Still Need Complete Documentation, One MAC Reminds

Just because 99211 is known as a 'nurse visit' doesn't mean you can report it without the appropriate notes. When your practitioner performs a level-one established patient E/M service, you probably report 99211 without much thought, because the so-called "nurse's code" only pays about $19.00. However, you should put just as much effort into ensuring that you're reporting 99211 as accurately as your other codes. Not only is it compliant and correct coding to do so, but MACs are watching. WPS Medicare, a Part B payer in Illinois, Michigan, Minnesota, and Wisconsin, recently updated the results of its...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

free demo
request yours today
pricing
for any budget
sign IN
welcome back!