tci Medicare Compliance & Reimbursement - 2013 Issue 16
Reader Question: Include Phone Work in Next E/M Code
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Article Overview
This article is a short medical coding question-and-answer piece for coders and billing staff working with evaluation and management services, office-based workflows, and nursing facility care. It explains the billing issue raised by phone-based clinical review and orders, discusses a related office/incident-to concern, and notes how some related work may be considered in connection with a later face-to-face nursing facility visit. The piece is useful for anyone who wants to understand the general scope of the question before reading the full premium discussion.
Why This Topic Matters
It helps readers recognize when a phone-only interaction may not stand alone as separately billable professional work and why the context of later related E/M services matters.
What You Will Learn
- How the article frames billing questions involving telephone-based clinical work
- How the discussion relates office work to evaluation and management services
- Why the topic is relevant to nursing facility care and incident-to billing concepts
- How related pre- and post-visit work is presented in the context of later E/M services
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Compliance staff
- Oncology office staff
Codes Discussed
Code Ranges Discussed
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