52 results.
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Do You Want Fries With That? Decoding All the 'Extras' in Physician Visits
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....
Don’t Let Preventable CPT Coding Mistakes Cause Heartburn
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....
Don't Let Gastroesophageal Coding Cause Heartburn: Using GERD to Discuss Coding Symptoms Versus Diagnosis
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....
Documentation Requirements for Reporting Professional Services
Author: Clark, Margi
Source: Brief Encounter
Publication Date: July 02, 2001
Here are some specific suggestions for improving the clarity and usefulness of physician record entries to support Evaluation and Management code levels.
History
Chief complaint with adjectives (8)
Site, description, severity, duration, timing (when) context (what is patient do....
Documentation Guidelines for E&M Services
Author: U.S. Centers for Medicare & Medicaid Services
Source: Government (U.S.)
Publication Date: May 09, 2006
Dangerous E/M Coding Practices: Identifying and Remedying Common Sources
Author: Stanfill, Mary H
Source: Journal of AHIMA - Coding Notes | Journal of AHIMA
Publication Date: March 2006
Code assignment for physician evaluation and management (E/M) services is inherently problematic because of the multiple coding rules and reporting guidelines that must be applied and the subjectivity of the codes. Consistent E/M coding practices are critical in the physician practice setting.....
CPT Updates for CY 2015
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....
CPT Code Updates for 2013
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....
Common E/M Documentation Issues
Author: Udell, Curtis
Source: Brief Encounter
Publication Date: July 02, 2001
One of the constant challenges facing managers today is evaluating physician documentation and then helping their physicians to improve the content of their patient notes, particularly for evaluation and management (E/M) services.
While physicians may have unique style or flair to t....
Coding Trends of Medicare Evaluation and Management Services
Author: U.S. Department of Health and Human Services. Office of the Inspector General
Source: Government (U.S.)
Publication Date: May 15, 2012
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