Outpatient Facility Coding Alert - 2009 Issue 14
E/M CODING QUIZ: Check Your E/M Coding Skills With This Quick Quiz
Subscribe or sign in to view the full article.
Article Overview
This article presents reader-submitted Medicare Part B questions in a quiz format to test understanding of evaluation and management coding and related billing concerns. It is aimed at coders, billers, and practice staff who handle Medicare claims and want to check their grasp of general E/M reporting topics, specialty affiliation issues, and diagnosis coding approach for office visits with in-house testing.
Why This Topic Matters
The article helps readers identify areas where Medicare E/M reporting can be confusing, especially in multi-specialty settings and when care discussions involve family members or diagnostic uncertainty. It is useful for practices that want to reduce denials and improve consistency in claim preparation.
Article Sections
-
Do Different Specialties Count?
A Medicare Part B question about how new patient status may be evaluated when related practices share a hospital setting but operate as separate entities. The discussion also raises the topic of provider matching and taxonomy information.
-
Can You Report Family Visits?
A question about reporting an E/M service when the physician meets with family members to discuss care, with the patient absent or not meaningfully participating. The section focuses on Medicare reporting considerations for these visit scenarios.
-
Is LikelyA Diagnosis?
A question involving an office visit, in-house spirometry, and how to handle diagnosis coding when the chart suggests a possible condition but not a definitive confirmation. The section addresses coding considerations for uncertain diagnoses and linked testing.
What You Will Learn
- How Medicare Part B E/M questions are framed in common practice scenarios
- Why specialty and practice structure can affect new patient reporting questions
- What issues arise when family members participate in visit discussions
- How diagnosis coding may be approached when a condition is suspected but not confirmed
- How in-house testing can intersect with office visit documentation and claim coding
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Physician offices
- Medicare Part B providers
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com