tci Medicare Compliance & Reimbursement - 2011 Issue 12

Part B Mythbuster: Get to Know These 3 E/M Myths That Could Be Affecting Your Practice

Hint: Just because your doctor visits the ICU doesn't mean he can report critical care. Most medical practices report outpatient E/M codes (99201-99215) every day, but some Part B providers are still falling victim to several of the most common E/M myths. Button up your coding processes by dispelling these three commonly held misunderstandings.Myth 1: When reporting 99211 "incident to" a physician, you should bill it under the name of the physician on record for that patient.Reality: When a service such as a nurse visit (99211, Office or other outpatient visit for the evaluation and management of...

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