Author: Davies, Sharon

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: September 2016

Place an order at almost any fast food chain and you can expect to hear the cashier ask, “Do you want fries with that?” From fries to soft drinks to apple pie desserts, extras abound at any given restaurant. When working on the coding for physician visits, it’s important to keep all the p....

Author: Morrow, Karna W

Source: CodeWrite | AHIMA newsletter article

Publication Date: September 2016

Think about the last time you attached modifier 25 to an Evaluation and Management (E/M) code. What were the circumstances? It was a new patient. The procedure or service was not planned. The provider documented each of the key components in addition to documenting the procedure. The payor....

Author: Huey, Kim

Source: CodeWrite

Publication Date: May 2016

Physicians have a new opportunity to bill and be paid separately for a counseling service they may already be performing. Advance Care Planning codes 99497-99498 were introduced in Current Procedural Terminology (CPT®) in 2015 but were not paid by Medicare until January 1, 2016. CPT code 9....

Author: Clack, Crystal

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: February 2016

When the first edition of the Current Procedural Terminology (CPT) was released in 1966, there were only 3,554 codes. In 2016, CPT, published by the American Medical Association (AMA), is celebrating its 50th birthday with 10,000 CPT codes. This year’s CPT updates include 140 codes added,....

Author: Sims, Kimberly F

Source: Journal of AHIMA

Publication Date: January 2016

More than 60 million American adults experience heartburn at least once a month, and more than 15 million adults suffer daily from heartburn.1 Gastroesophageal reflux disease (GERD) occurs when the lower esophageal sphincter (LES) is weak or relaxes inappropriately, allowing the stomach’s....

Author: Sims, Kimberly F

Source: CodeWrite

Publication Date: November 2015

Objective



The objective of this article is to outline the steps required to assign Evaluation and Management codes for critical care services.



Clinical Information



What is Critical Care?

Critical care can be defined as speci....

Author: Clack, Crystal

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: November 2015

Every medical practice should have preventive measures in place to avoid costly coding and billing audits, errors, and subsequent delays in payment. Incorrectly coded claims, missing charges on a patient encounter, and other mistakes can take a substantial bite out of both practice and ph....

Author: Buttner, Patty

Source: Journal of AHIMA - Coding Notes | Journal of AHIMA

Publication Date: February 2015

On January 1, 2015, the updates to the American Medical Association’s Current Procedural Terminology (CPT) went into effect. The updates include 276 new codes, including three new Category II codes and 39 new Category III codes. There are a total of 129 revised codes and 137 deleted codes....

Author: Maccariella-Hafey, Patricia C

Source: CodeWrite | AHIMA newsletter article

Publication Date: January 2015

This is the second of a two-part series on the history component of the CPT Evaluation and Management code. The first part was published in the December 2014 issue of CodeWrite.


Levels of Evaluation and Management (E/M) services are based on four types of history (Problem F....

Author: Maccariella-Hafey, Patricia C

Source: CodeWrite | AHIMA newsletter article

Publication Date: December 2014

This is the first of a two-part series on the history component of the CPT Evaluation and Management code.


As discussed in the October 2014 CodeWrite article "Introduction to Evaluation and Management Services," evaluation and management (E/M) services are cognitive services....

Author: Huey, Kim

Source: CodeWrite | AHIMA newsletter article

Publication Date: October 2014

Evaluation and management (E/M) are cognitive services in which a physician or other qualified healthcare professional diagnoses and treats illness or injury. Almost all specialties will perform evaluation and management services. Even physicians who generate the bulk of their revenue in....

Author: Miller, Jackie

Source: Journal of AHIMA - Coding Notes

Publication Date: January 2013

The CPT code set has undergone extensive revisions for 2013, with codes, guidelines, and modifiers being revamped and updated. HIM coding professionals should download and review the CPT 2013 errata on the AMA website before starting to use the new codes. This download can be accessed at w....

Author: Gordon, Lynne Thomas

Source: AHIMA testimony and comments

Publication Date: September 26, 2012

Author: U.S. Department of Health and Human Services. Office of the Inspector General

Source: Government (U.S.)

Publication Date: May 15, 2012

Author: Swindle, Jennifer

Source: AHIMA Convention

Publication Date: October 02, 2011

ABSTRACT:

Background: The need for modifiers to further and appropriate identify accurate coding information to all payers is critical for appropriate and accurate reimbursement. Failure to use modifiers can have a negative impact on a physician or an organizations’ revenue as witho....

Author: Boppre, Debra

Source: AHIMA online training

Publication Date: April 07, 2011

Seminar Date: April 7, 2011

Faculty: Debra Boppre, RHIA, CCS, CCS-P

Description

E/M Auditing: Establishing an Effective Audit Program focuses on developing the required skills to accurately validate physician practice E/M services from a compliance perspective. This....

Author: DeVault, Kathryn

Source: Journal of AHIMA - Coding Notes

Publication Date: February 2010

Changes to CPT codes for 2010 include 219 additions, 141 revisions, and 63 deletions. This article highlights some of the more notable changes; a comprehensive list can be found in appendix B of the 2010 CPT coding book. The changes took effect January 1.
Resequencing

The most n....

Author: Nelson, Tanai S; Benjamin, Christina

Source: Journal of AHIMA - Coding Notes

Publication Date: July 2009

Correctly coding casts, splints, and strapping can be confusing. Much of the confusion is related to what type of materials are classified as casts, splints, or strapping; whether the CPT application codes or the HCPCS level II codes should be assigned; and whether the work performed is includ....

Author: Clark, Andrea

Source: Journal of AHIMA - Coding Notes

Publication Date: March 2009

The final rule for the 2009 Outpatient Prospective Payment System (OPPS) includes multiple revisions that hospitals must address in their practices, policies, and operations. Hospitals should develop strategies for analyzing the financial impact and operational challenges by reviewing the foll....

Author: Lojewski, Tedi

Source: Journal of AHIMA - Coding Notes

Publication Date: September 2008

Since the implementation of the Outpatient Prospective Payment System (OPPS), the Centers for Medicare and Medicaid Services (CMS) has required hospitals to report facility resources for emergency department (ED) visits using CPT evaluation and management (E/M) codes.

However, CMS re....

Author: Medicare Learning Network

Source: Government (U.S.)

Publication Date: June 02, 2008

Author: Wilkinson, Dianne

Source: Journal of AHIMA - Coding Notes

Publication Date: March 2008

According to the Partnership for Prevention—a program-based organization of businesses, nonprofits, and government agencies—“the U.S. health care system suffers a quality deficit in part because too many patients do not get the effective preventive care they need when they ne....

Author: Fenton, Susan H.; Gamm, Larry D.

Source: AHIMA Computer-Assisted Coding Meeting

Publication Date: October 05, 2007

Author: Medicare Learning Network

Source: Government (U.S.)

Publication Date: July 02, 2007

Author: Fenton, Susan H.; Gamm, Larry D.

Source: AHIMA Foundation | AHIMA eContent

Publication Date: May 02, 2007