Coding office visits the easy way - based on time -- FPM
An E/M office visit may be coded based solely on face-to-face time when more than half is devoted to counseling or coordination of care.
Family Practice Management : Quick Tips : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/coding_office_visits_the_easy_way.html
Potential pitfall in Medicare billing: psychotherapy in conjunction with an evaluation ...
Potential pitfall in Medicare billing: psychotherapy in conjunction with an evaluation and management service
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/potential_pitfall_in_medicare_billing.html
E-Prescribing codes for 2012 -- FPM
E-Prescribing codes for 2012
Family Practice Management : Getting Paid : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/e_prescribing_codes_for_2012.html
Coding From the Bottom Up -- FPM
Dec 1, 2008 - Start from the presenting problem to get to the right code faster.
Family Practice Management : Articles
https://www.aafp.org/fpm/2008/1100/p22.html
Level-II vs. Level-III Visits: Cracking the Codes -- FPM
Jan 1, 2007 - Once you learn the rules, choosing the right code is easier than you think.
Family Practice Management : Articles
https://www.aafp.org/fpm/2007/0100/p21.html
Is Your Medicare Payer Playing by the Rules? -- FPM
Aug 1, 2010 - Don't let varying interpretations of the evaluation and management guidelines keep you from getting paid.
Family Practice Management : Articles
https://www.aafp.org/fpm/2010/0700/p27.html
Why the Medicare Fee Schedule and RVUs Matter to Employed Family Physicians -- FPM
Jun 1, 2010 - When Medicare payments are cut, everybody loses, not just self-employed physicians.
Family Practice Management : Opinion
https://www.aafp.org/fpm/2010/0500/p7.html
Coding & Documentation - Sep-Oct 2009 -- FPM
Oct 1, 2009 - ...observation care services on day one, 99213 for observation care on day two and 99217 for observation care discharge services on day three. The hospital listed the patient as an outpatient all three days. Is there a better code than 99213 to use for day two? Also, should 99219 be...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2009/0900/p30.html
Ten Steps to a Patient-Centered Medical Home -- FPM
Dec 1, 2009 - Start with steps that increase practice revenue. Then you'll be better able to afford the steps that just make practice better and more satisfying.
Family Practice Management : Articles
https://www.aafp.org/fpm/2009/1100/p18.html
A Quick-Reference Card for Identifying Level-4 Visits -- FPM
Aug 1, 1999 - The author's tool will help you keep in mind what qualifies a visit for a 99214 or a 99204.
Family Practice Management : Articles
https://www.aafp.org/fpm/1999/0700/p32.html
Practice Pearls - Sep-Oct 2009 -- FPM
Oct 1, 2009 - ...The typical office visit for a family physician is represented by CPT code 99213. The work RVUs for that code in 2009 are 0.92. Based on this number, at 20 visits per day a family physician might be expected to generate 18.4 work RVUs per day, on average. Kent J. Moore AAFP Leawood,...
Family Practice Management : Practice Pearls
https://www.aafp.org/fpm/2009/0900/p31.html
Chart Audit: Is Your Practice Billing What It Should? -- FPM
Apr 1, 2009 - A simple review may save your practice loads of money.
Family Practice Management : Articles
https://www.aafp.org/fpm/2009/0300/p15.html
Coding & Documentation - Nov 2008 -- FPM
Dec 1, 2008 - ...We had a patient come in for a routine diabetic checkup, which we billed using CPT code 99213 and ICD-9 code 250.02. A few hours later, this patient came in with a migraine and hypertension issues. Could we have reported code 99058 for the second visit? A Code 99058 is to be...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2008/1100/p37.html
Charting Then and Now -- FPM
Feb 1, 2009 - Chart notes used to be primarily for doctors, but oh how times have changed.
Family Practice Management : The Last Word
https://www.aafp.org/fpm/2009/0100/p40.html
Coding & Documentation - Jan-Feb 2009 -- FPM
Feb 1, 2009 - ...a patient comes in for a sinus infection and I administer an injection of Celestone for the sinus infection, can 90772 be billed along with 99213? What if the sinus infection was the primary focus of the visit but I administer a B12 shot for anemia? A You can report both codes as...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2009/0100/p30.html
Are Your Payers' Fee Schedules Fair? -- FPM
Apr 1, 2007 - If they use multiple conversion factors when determining what they'll pay, you may be at an even greater disadvantage than you realized.
Family Practice Management : Opinion
https://www.aafp.org/fpm/2007/0400/p13.html
How We Improved Our Practice and Our Bottom Line With a New EMR System -- FPM
Aug 1, 2008 - This four-physician practice has good reason to be enthusiastic about new technology.
Family Practice Management : Articles
https://www.aafp.org/fpm/2008/0700/p25.html
A Multiple-Service Rule for E/M Services -- FPM
Jun 1, 2008 - A simple rule change could improve access and quality of care while reducing inequities between compensation for E/M services and for procedures.
Family Practice Management : Opinion
https://www.aafp.org/fpm/2008/0600/p9.html
Coding & Documentation - Jul 2008 -- FPM
Aug 1, 2008 - ...to attach modifier 25 to the evaluation and management (E/M) code when an injection is also performed? For example, I have been coding 99213-25 with 90772. A Yes. CPT instructs that modifier 25 may be reported when a significant and separately identifiable E/M service is provided...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2008/0700/p43.html
Breaking Even on Four Visits Per Day -- FPM
Jun 1, 2007 - Spurning health plan contracts enabled this practice to dramatically reduce overhead and fees while improving access for the uninsured.
Family Practice Management : Articles
https://www.aafp.org/fpm/2007/0600/p19.html
What Every Physician Should Know About the RUC -- FPM
Feb 1, 2008 - A small group of physicians has a big say in what you get paid.
Family Practice Management : Articles
https://www.aafp.org/fpm/2008/0200/p36.html
Coding & Documentation - Jan 2008 -- FPM
Jan 1, 2008 - ...The most current Medicare utilization data for family medicine indicates that 58 percent of established patient office visits were coded 99213 and 28 percent were coded 99214. Forty-three percent of new patient visits were coded 99203 and 27 percent were coded 99204. This data is...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2008/0100/p43.html
Virtual Office Visits: A Reachable and Reimbursable Innovation -- FPM
Oct 1, 2007 - They're convenient, they're efficient, and for a growing number of physicians, they pay.
Family Practice Management : Articles
https://www.aafp.org/fpm/2007/1000/p20.html
Coding & Documentation - Nov 2007 -- FPM
Dec 1, 2007 - ...Can I report office visit code 99213 with modifier -25 and code 90805 for psychotherapy at the same visit? A No. Code 90805 reports that psychotherapy and medical E/M services were provided on the same date, which includes evaluation and management of comorbid conditions, drug...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2007/1100/p15.html
Coding & Documentation - Jul 2007 -- FPM
Aug 1, 2007 - ...Can I code 99213, 69210 and 93000 at the same visit? A Yes. You should append modifier -25 to the evaluation and management (E/M) code, but you should not need additional modifiers for 69210, removal impacted cerumen (separate procedure), one or both ears, or for 93000,...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2007/0700/p24.html
Coding & Documentation - Oct 2007 -- FPM
Oct 1, 2007 - ...A injection, can I bill for the visit (99213), the vaccine (90632, Hepatitis A vaccine, adult dosage, for intramuscular use) and the vaccine administration (90471) at the same time? A Yes. You will need to append modifier -25 to code 99213 in this scenario to indicate that your work...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2007/1000/p15.html
Coding & Documentation - Sep 2007 -- FPM
Sep 1, 2007 - ...that … under existing CPT codes and Medicare rules, a physician could furnish a medically necessary face-to-face E/M service (e.g., CPT code 99213 or similar code depending on the level of complexity) to a particular patient that is observed by other patients. From a payment...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2007/0900/p12.html
How to Document and Bill Care Plan Oversight -- FPM
May 1, 2005 - This article will describe how to bill for and document care plan oversight, balancing it as a billing opportunity and a compliance risk. It will include a form for documenting CPO.
Family Practice Management : Articles
https://www.aafp.org/fpm/2005/0500/p23.html
How to Analyze Your E/M Coding Profile -- FPM
Apr 1, 2007 - Your peers have been coding more 99214s. Is it time to review your coding habits?
Family Practice Management : Articles
https://www.aafp.org/fpm/2007/0400/p39.html
Making Sense of Preventive Medicine Coding -- FPM
Apr 1, 2004 - Find out how to properly code and bill for the preventive services you provide.
Family Practice Management : Articles
https://www.aafp.org/fpm/2004/0400/p49.html
Coding & Documentation - May 2007 -- FPM
May 1, 2007 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Don't Get Burned Coding Common Skin Procedures An Update on Certifying Home Health Care Editor's Collections Coding Medicare Medicare Annual Wellness Visits Coding & Documentation Related Topic...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2007/0500/p16.html
Coding & Documentation - Nov 2006 -- FPM
Dec 1, 2006 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum The 2021 Office Visit Coding Changes: Putting the Pieces Together An Update on Certifying Home Health Care Editor's Collections Coding Medicare Medicare Annual Wellness Visits Coding & Documentation...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2006/1100/p27.html
Coding & Documentation - Oct 2006 -- FPM
Oct 1, 2006 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Sports Physicals: A Coding Conundrum In Support of Buprenorphine Deregulation Editor's Collections Coding & Documentation Related Topic Searches Time-based coding MOST RECENT ISSUE Nov-Dec 2020...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2006/1000/p29.html
In Search of a Super Superbill -- FPM
Sep 1, 2006 - This superbill incorporates the best characteristics of superbills submitted by FPM readers.
Family Practice Management : Articles
https://www.aafp.org/fpm/2006/0900/p43.html
Time Is of the Essence: Coding on the Basis of Time for Physician Services -- FPM
Jun 1, 2003 - Sometimes, coding is almost as simple as looking at the clock.
Family Practice Management : Articles
https://www.aafp.org/fpm/2003/0600/p27.html
Coding Level-IV Visits Without Fear -- FPM
Feb 1, 2006 - Use this worksheet to quickly assess whether you can code a 99214.
Family Practice Management : Articles
https://www.aafp.org/fpm/2006/0200/p34.html
News & Trends - Jul 2006 -- FPM
Aug 1, 2006 - ...changes would result in increased payments for many evaluation and management (E/M) services. For example, the Medicare allowance for code 99213 would increase $6.83, while the allowance for code 99214 would increase $7.58. (See the accompanying table.) Payment for many hospital and...
Family Practice Management : News Briefs
https://www.aafp.org/fpm/2006/0700/p20.html
Coding & Documentation - Jul 2006 -- FPM
Aug 1, 2006 - ...and give referrals when appropriate. We also plan to write individual progress notes for each patient. Would it be appropriate to bill 99213 or 99214, along with 99499, Unlisted evaluation and management (E/M) service, if our documentation meets the criteria for these codes? A At...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2006/0700/p25.html
Same-Day E/M Services: What to Do When a Health Plan Won't Pay -- FPM
Apr 1, 2006 - These ideas will help you deal with the difficult consequences of this common policy.
Family Practice Management : Articles
https://www.aafp.org/fpm/2006/0400/p58.html
Coding & Documentation - May 2006 -- FPM
May 1, 2006 - ...In the past, I have always billed 99213 with CPT injection code 90782 and HCPCS injection codes J1100 and J1030. Recently, the insurance company has denied the office visit as invalid with CPT code 90782. What are we doing wrong? A First, 90782 is not valid in 2006; instead use...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2006/0500/p32.html
News & Trends - Apr 2006 -- FPM
Apr 1, 2006 - ...under Medicare has increased from 20 percent in 2002 to 25.6 percent in 2004, according to data from CMS. The percentages for codes 99212 and 99213 have decreased. View/Print Table Medicare allowed services provided by family physicians 200220032004 E/M codeNumberPercentage of...
Family Practice Management : News Briefs
https://www.aafp.org/fpm/2006/0400/p26.html
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