tci Part B Insider - 2019 Issue 3

Targeted Probe and Educate: Subsequent Care Coding Remains a Popular TPE Focus Area

Hint: Incorrect coding tops the denial reasons for these codes. Billing subsequent hospital care visits may seem simple at first glance. But, recent CMS data indicates that for Part B providers, it may be more complex than you think. Context: Some of the Medicare Administrative Contractors (MACs) have listed CPT® codes 99232 (Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate complexity … 25 minutes are spent at the...

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