tci Medicare Compliance & Reimbursement - 2014 Issue 18

Reimbursement: Overlooking These E/M Tips Could Cost Your Practice $5000 Each Year

Ensure that your documentation supports billing 99211. Caution: Before you decide to bill 99211 for nurse visits, you need to make sure that you’re meeting all of the appropriate conditions for reporting this code. But don’t let that scare you off — not reporting 99211 when it’s appropriate to do so could make a significant difference to your practice’s bottom line. Check the Code Criteria The first key criterion for reporting 99211 (Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician...

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