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99213

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News & Trends - May 2006 -- FPM

May 1, 2006 - ...billed by family physicians and should pay for them fairly. Recently, Anthem of Southern Ohio announced it would begin reimbursing codes 99213 and 99214 at a blended rate. In an April 7 letter, AAFP Board Chair Mary Frank, MD, justified the increase in high-level E/M codes, noting...

Family Practice Management : News Briefs

https://www.aafp.org/fpm/2006/0500/p26.html

Coding & Documentation - Feb 2006 -- FPM

Feb 1, 2006 - ...for a separately identifiable service on the same date as an E/M service, the modifier −25 should be appended to the E/M code (for instance, 99213-25.) Payers may choose to bundle code 99173 with the E/M service despite the correct modifier usage. You should check with your payer to...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2006/0200/p30.html

How Do You Cope With Bundled Claims? -- FPM

Apr 1, 2006 - Don’t cheat yourself. That’s the health plan’s job.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2006/0400/p14.html

ICD-9 Changes: It's Time to Tend to Your Superbill -- FPM

Sep 1, 2005 - You’ve got until Oct. 1 to weed out incorrect codes.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/0900/p49.html

Meet Dr. Wonderful -- FPM

Sep 1, 2005 - This doll tells people exactly what they want to hear.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2005/0900/p68.html

Are You Prepared to Defend Your Coding? -- FPM

Jun 1, 2005 - The authors offer readers an action plan to use in reacting/responding to payers' accusations of incorrect coding.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/0600/p17.html

Coding & Documentation - May 2005 -- FPM

May 1, 2005 - ...otherwise does not meet the definition of a consultation, the office encounter should be coded using an office/outpatient visit code, such as 99213. In either case, modifier -25 should be appended to the E/M code to indicate that it was a significant, separately identifiable service...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2005/0500/p27.html

The Value of a Coding Education -- FPM

Mar 1, 2005 - The authors describe options for physicians and members of their staff who want to obtain certification in coding.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/0300/p20.html

Coding & Documentation - Apr 2005 -- FPM

Apr 1, 2005 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Don't Get Burned Coding Common Skin Procedures New Medicare Payment Opportunities Editor's Collections Coding Coding & Documentation Related Topic Searches CPT: Medicine codes MOST RECENT ISSUE...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2005/0400/p35.html

Why It's Time to Purchase an Electronic Health Record System -- FPM

Dec 1, 2004 - The old reasons for holding off may have lost their validity.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/1100/p43.html

Coding for Depression Without Getting Depressed -- FPM

Mar 1, 2004 - Here is what you need to know to code and be reimbursed for counseling and treating patients with depression.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/0300/p23.html

Group Visits Hit the Road -- FPM

Sep 1, 2004 - By taking group visits to his elderly patients, this physician found a way to meet their needs and those of his practice - and have fun at the same time.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/0900/p39.html

Are You Coding Accurately? -- FPM

Jun 1, 2004 - This article provides readers with step-by-step instructions for checking their E/M coding distribution with national guidelines established in the Centers for Medicare and Medicaid Family Practice Profile.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/0600/p20.html

Coding Better for Better Reimbursement -- FPM

Jan 1, 2003 - Your work is worth more than you think. You just need to document and code it better.

Family Practice Management : Articles

https://www.aafp.org/fpm/2003/0100/p29.html

Coding & Documentation - Oct 2003 -- FPM

Oct 1, 2003 - ...Medicare will allow you to submit G0101 in addition to an evaluation and management (E/M) service (e.g., 99213) if the E/M service is significant and separately identifiable from the G0101 service. An example would be if an established Medicare patient with chronic essential...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2003/1000/p16.html

fpm20070100p21.pdf

...(99213) visits - differences that can have a surprisingly significant effect on your bottom line if you don’t understand them well. For example, the 2007 Medicare allowance (not adjusted for geographic differentials) for a 99212 is $37.14, while the allowance for a 99213 is $59.50....

Family Practice Management

https://www.aafp.org/fpm/2007/0100/fpm20070100p21.pdf

fpm20160500p30.pdf

...For example, the report shows that Physician A reports code 99213 almost three times as often as code 99214, although the benchmark ratio is 1.08:1. There are no Medicare wellness visits or transitional care management services reported. There are no smoking cessation services or...

Family Practice Management

https://www.aafp.org/fpm/2016/0500/fpm20160500p30.pdf

Coding Better for Better Reimbursement -- Family Practice Management

...99212 and 99213. The CPT require- ments for these two codes are shown side by side on page 33. As you can see, the differ- ence between the two can be slight.If you don’t fully document the work you do in a visit, you’ll often end up coding 99212s for visits that are easily 99213s....

Family Practice Management

https://www.aafp.org/fpm/2003/0100/fpm20030100p29.pdf

fpm20110900p33.pdf

...status of chronic diseases). A brief HPI includes documentation of one to three of these elements and is consistent with E/M codes 99212 and 99213. Since this is a follow-up visit for well-controlled chronic condi- tions, the HPI doesn’t meet the level of an extended HPI, which...

Family Practice Management

https://www.aafp.org/fpm/2011/0900/fpm20110900p33.pdf

Trouble at the Money/Medicine Interface -- FPM

Jun 1, 2003 - Argues that the reimbursement system's misalignment of incentives makes the health care system absurdly complicated and points to two articles in this issue as evidence.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2003/0600/p8.html

Test Your Coding Skills -- Family Practice Management

...Progress note 1 Reviewers’ recommendations: 9939x-25 + 11200 or 99213-25 + 11200 or 99214-25 + 11200 For this visit, three reviewers recommended one of the preven- tive medicine services codes 99391-99397 (determined by the patient’s age, which is not included in this note), 11200...

Family Practice Management

https://www.aafp.org/fpm/2002/0200/fpm20020200p41.pdf

fpm20110300p31.pdf

...Stuck on 99213 Selecting and documenting appropriate levels of E/M services can be challenging for many physicians. Often, code 99213 becomes the default code because physicians think exten- sive documentation will be needed for coding anything higher and they believe 99213 is...

Family Practice Management

https://www.aafp.org/fpm/2011/0300/fpm20110300p31.pdf

fpm20070400p39.pdf

...percent of established patient visits were reported as 99212 - a decrease of almost 50 percent. During the same four-year period, the use of 99213 decreased by about 7 percent and the use of 99214 increased by about 60 percent. The increased use of electronic health records...

Family Practice Management

https://www.aafp.org/fpm/2007/0400/fpm20070400p39.pdf

fpm20081100p22.pdf

...Take a look at From the presenting problem to the code on page 24. The tables show how the requirements for 99213-99215 and 99203-99205 look if you start from the presenting problem, assume that the other decision- making requirements are met and work toward the exam Coding From...

Family Practice Management

https://www.aafp.org/fpm/2008/1100/fpm20081100p22.pdf

Group Visits 101 -- FPM

May 1, 2003 - In addition to providing step-by-step instructions for launching group visits, the authors lay out the rationale for group visits and how to code for them.

Family Practice Management : Articles

https://www.aafp.org/fpm/2003/0500/p66.html

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