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99213

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Cigna changes policy on paying for an E/M visit with cerumen removal

Starting Nov. 14, Cigna will deny office visit evaluation and management (E/M) services as not separately payable when billed with the removal of impacted cerumen if the removal is the sole reason for the visit.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/cigna_cerumen_emcoding.html

A Step-by-Step Time-Saving Approach to Coding Office Visits -- FPM Restricted content. Login required.

Aug 1, 2021 - Follow these four steps to code quickly and accurately, while reducing the need to count up data points.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0700/p21.html

Coding & Documentation - Jul-Aug 2021 -- FPM Restricted content. Login required.

Aug 1, 2021 - Staff documentation of the patient history | Modifiers for multiple procedures | Counting data for medical decision making | AWV work by medical assistants | What counts when ordering and reviewing tests

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2021/0700/p32.html

How to bill for osteopathic manipulative treatment and E/M in a single visit

If you provide OMT, or are considering offering it, here’s how to get paid for all your work.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/omt_visit.html

How to Integrate Clinical Pharmacists Into Primary Care -- FPM Restricted content. Login required.

Jun 1, 2021 - Clinical pharmacists can take team-based care to the next level.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0500/p12.html

Demystifying Documentation and Billing for Osteopathic Manipulative Treatment -- FPM Restricted content. Login required.

Jun 1, 2021 - Osteopathic manipulative treatment is indicated for several common ailments, but documenting and coding it can be daunting for beginners. Here’s how it’s done.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0500/p18.html

Coding Level 4 Office Visits Using the New E/M Guidelines -- FPM Restricted content. Login required.

Feb 1, 2021 - Determining whether the visit you’ve just finished should be coded as a level 4 could be as simple as asking yourself three questions.

Family Practice Management : Articles

https://www.aafp.org/fpm/2021/0100/p27.html

How the E/M code RVU increases could affect family physicians’ pay

The relative value units (RVUs) for several key E/M codes increased on Jan. 1. Here’s how this could affect your payment rates.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/em_rvus.html

The 2021 Office Visit Coding Changes: Putting the Pieces Together -- FPM

Dec 1, 2020 - Simplified guidelines for coding and documenting evaluation and management office visits are coming next year. Learn how to apply the guidelines to some common visit types.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/1100/p6.html

Tips for using total time to code E/M office visits in 2021

Some tips for coding using total time under the new rules for E/M office visits that take effect Jan. 1, plus an example of a visit well-suited for time-based coding.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/total_time_tips.html

2021 outpatient office E/M changes FAQ

Documentation and coding requirements for outpatient evaluation and management services will change starting Jan. 1. Here are some answers to common questions about the changes.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/em_changes_FAQ.html

Coding E/M visits by medical decision making

Starting Jan. 1, physicians will be able to code evaluation and management visits based solely on medical decision making, which is made up of three elements.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/medical_decision_making.html

Countdown to the E/M Coding Changes -- FPM

Oct 1, 2020 - The biggest changes in coding since 1997 will take effect Jan. 1, 2021. It is time to prepare for them now.

Family Practice Management : Articles

https://www.aafp.org/fpm/2020/0900/p29.html

Telehealth FAQs

Telehealth and telemedicine can be confusing to navigate, especially during the COVID-19 pandemic. The AAFP has gathered the top questions to get you the exact information you need to bill and code telehealth correctly.

Family Physician : Patient Care

https://www.aafp.org/family-physician/patient-care/current-hot-topics/recent-outbreaks/covid-19/covid-19-telehealth/telehealth-faqs.html

FPM Past Issues 2005

FPM issues 2005

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/issues/2005.html

FPM Past Issues 2018

FPM 2018 Past issues

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/issues/2018.html

Coronavirus (COVID-19): new telehealth rules and procedure codes for testing

CMS has loosened restrictions on telehealth reimbursement for areas where the spread of the new coronavirus has been deemed an emergency.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/coronavirus_testing_telehealth.html

Coding for Evaluation and Management Services

Maximize payment and reduce stress by understanding how to properly document and code for evaluation and management (E/M) services.

Family Physician : Practice and Career

https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/evaluation-management.html

Medical Coding for Group Visits

Find out the coding procedures to follow to receive Medicare payment for group visits.

Family Physician : Practice and Career

https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/group-visits.html

Services Not Covered by Medicare

Learn about the two categories of services not covered by Medicare, including services not deemed medically reasonable or necessary and non-covered services.

Family Physician : Practice and Career

https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/non-covered-services.html

Coding for Vaccine Administration

Find out the correct coding procedures for vaccine administration.

Family Physician : Practice and Career

https://www.aafp.org/family-physician/practice-and-career/getting-paid/coding/vaccine-administration.html

Primary Care Exception Needs Expansion, AAFP Tells CMS

In an Oct. 9 letter to CMS, the Academy advocated for the expansion of codes under the primary care exception rule -- an update that would reduce administrative complexity without compromising patient care.

AAFP News : Advocacy and Government

https://www.aafp.org/news/government-medicine/20191014exceptionrule.html

Four tips to help you spend less time charting

To get through your routine documentation more efficiently and reduce work after clinic, try these tips.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/spend_less_time_on_charting.html

How to Use Group Visits to Manage Obesity -- FPM

Oct 1, 2019 - Clinic and community resources combine to support patients in this unique group-visit model.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0900/p20.html

Think 99214 if you see these problems or procedures

The risk component of medical decision making is more subjective and can be difficult to identify, so here’s what to look for.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/99214_presenting_problems.html

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