tci Part B Insider - 2004 Issue 20

Part B Coding Coach: Want To Make $43 More Per E/M Visit?

4 steps help you avoid unnecessary downcoding If you underestimate your physician's medical decision-making, you might report a level three E/M when he actually performed a level four -- that's a loss of approximately $43 for a new patient visit and $33 for an established patient. Problem: You must evaluate three components -- history, exam and medical decision-making -- before you can select the appropriate E/M code . The E/M's history and exam components are generally straightforward and easy to assess from the physician's documentation. When physicians come to the medical decision-making component, however, they often rule out diagnoses, evaluate...

To read the full article, sign in and subscribe to tci Part B Insider.


Keep pace with evolving Medicare regulations with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI’s Part B Insider will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4800 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

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.