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99213

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99213 or 99214? Three Tips for Navigating the Coding Conundrum -- FPM

Aug 1, 2018 - Here’s how to quickly identify whether you’re on the path to a 99214 versus a 99213.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0700/p5.html

99213 vs. 99214: Three tips for spotting the difference

One of the most confounding aspects of evaluation and management (E/M) coding is the distinction between a 99213 and a 99214 established patient office visit. The following tips can help you recognize when a visit meets the requirements of a 99214, as opposed to a 99213.

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/coding_99214.html

Coding "Routine" Office Visits: 99213 or 99214? -- FPM

Sep 1, 2005 - Before choosing 99213 for routine visits, consider whether your work qualifies for a 99214.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/0900/p52.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

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

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

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

99213 or 99214? Three Tips for Navigating the Coding Conundrum

...99213 or 99214? Three Tips for Navigating the Coding Conundrum Here’s how to quickly identify whether you’re on the path to a 99214 versus a 99213. ABOUT THE AUTHOR Richelle Marting is an attorney practicing with Forbes Law Group in Overland Park, Kan., where she focuses on...

Family Practice Management

https://www.aafp.org/fpm/2018/0700/fpm20180700p5.pdf

Coding "Routine" Office visits: 99213 or 99214? -- Family Practice Management

...d ata show that family physicians choose 99213 for about 61 percent of visits with established Medicare patients and choose 99214 only about 23 percent of the time for the same type of visit.1 So 99213 must be the correct code to use for a routine visit, right? Not necessarily. Many...

Family Practice Management

https://www.aafp.org/fpm/2005/0900/fpm20050900p52.pdf

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

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

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

Medicare Wellness Visits: Reassessing Their Value to Your Patients and Your Practice --...

Apr 1, 2019 - Providing Medicare wellness visits can be challenging but can improve quality and practice revenue.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0300/p25.html

Four Coding and Payment Opportunities You Might Be Missing -- FPM

Jun 1, 2016 - You’re likely already doing the work, so why not get paid for it?

Family Practice Management : Articles

https://www.aafp.org/fpm/2016/0500/p30.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

How to Create a Culture of Well-Being in Your Practice -- FPM

Aug 1, 2018 - Every organization has a culture, either by default or by design. Why not cultivate one that helps people thrive?

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0700/p11.html

Quality Measurement: A Long Way to Go -- FPM

Aug 1, 2018 - Physician quality shouldn't be subjective. But the current measurement methods need more work.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2018/0700/p4.html

Getting Your Notes Done on Time -- FPM

Apr 1, 2016 - These seven tips can help you spend less time on charting.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2016/0300/p40.html

Coding & Documentation - Jan-Feb 2016 -- FPM

Feb 1, 2016 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Coding for Hypertension: Painting a Picture of the Severity of Illness A Refresher on Medical Necessity Editor's Collections Coding & Documentation Related Topic Searches Time-based coding MOST RECENT...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2016/0100/p34.html

Treating Dementia With Shared Group Visits -- FPM

Jun 1, 2015 - Seeing patients with dementia in a group setting can streamline visits and help provide support for caregivers and families.

Family Practice Management : Articles

https://www.aafp.org/fpm/2015/0500/p16.html

Transitional Care Management Services: New Codes, New Requirements -- FPM

Jun 1, 2013 - Two new codes will help you get paid for managing a patient’s transition from the inpatient to outpatient setting, but they come with new expectations.

Family Practice Management : Articles

https://www.aafp.org/fpm/2013/0500/p12.html

Coding & Documentation - May-Jun 2014 -- FPM

Jun 1, 2014 - ...Regarding transitional care management codes 99495 and 99496, if we see the patient for a 99213- or 99214-level service before the end of the 30-day period, can we bill for that visit at that time and then bill the 99495 after the 30 days? A The first face-to-face visit with the...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2014/0500/p29.html

Practice Pearls - Mar-Apr 2014 -- FPM

Apr 1, 2014 - ...the Centers for Medicare and Medicaid Services (CMS) said a physician could furnish a medically necessary face-to-face E/M visit (CPT code 99213 or similar code depending on level of service) to a patient that is observed by other patients. The agency added that none of the...

Family Practice Management : Practice Pearls

https://www.aafp.org/fpm/2014/0300/p28.html

Coding & Documentation - Nov-Dec 2013 -- FPM

Dec 1, 2013 - ...In general, the AAFP advises that you report an E/M code, such as 99213, for a patient seen in a group setting as long as your documentation supports that you provided the key components of the code. In other words, the fact that an E/M service was provided in the presence of other...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2013/1100/p28.html

Time Is on Your Side: Coding on the Basis of Time -- FPM

Dec 1, 2008 - E/M coding can be so complex that you forget those visits where it's just a matter of time.

Family Practice Management : Articles

https://www.aafp.org/fpm/2008/1100/p17.html

Do You Know What Is (or Isn't) in Your Documentation? -- FPM

Aug 1, 2013 - Leaving out key information in patient documentation can compromise quality and cost you money.

Family Practice Management : Articles

https://www.aafp.org/fpm/2013/0700/p23.html

Making Medicare Wellness Visits Work in Practice -- FPM

Oct 1, 2012 - Taking a systematic, team-based approach can make these services valuable for physicians and patients.

Family Practice Management : Articles

https://www.aafp.org/fpm/2012/0900/p11.html

E/M Coding and the Documentation Guidelines: Putting It All Together -- FPM

Oct 1, 2011 - It's time to test your E/M coding skills.

Family Practice Management : Articles

https://www.aafp.org/fpm/2011/0900/p33.html

Browse FPM Documents on Topic: org.aafp.jms.model.TaxonomyTerm@89ddea

...Coding "Routine" Office Visits: 99213 or 99214? [Feature] Before choosing 99213 for routine visits, consider whether your work qualifies for a 99214. Oct 2004 Issue Understanding When to Use Modifier -25 [Getting Paid] A coding expert explains how and why modifier -25...

Family Practice Management

https://www.aafp.org/fpm/viewRelatedDocumentsByTaxonomy.htm?taxonomyId=27&page=2

Evaluation and management (E/M) coding and documentation burden could lighten in 2019 ...

The Centers for Medicare and Medicaid Services' proposed rule for the Physician Fee Schedule for 2019 contains significant revisions to the coding, documentation, and payment of office visit evaluation and management services.

Family Practice Management : FPM

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

Browse FPM Documents on Topic: org.aafp.jms.model.TaxonomyTerm@4b53544e

...99213 or 99214? Three Tips for Navigating the Coding Conundrum [Feature] Here’s how to quickly identify whether you’re on the path to a 99214 versus a 99213. November/December 2014 Issue When Is It Right to Code 99215? [Feature] Knowing the rules will give you the...

Family Practice Management

https://www.aafp.org/fpm/viewRelatedDocumentsByTaxonomy.htm?taxonomyId=53

Browse FPM Documents on Topic: org.aafp.jms.model.TaxonomyTerm@5b5d28eb

...99213 or 99214? Three Tips for Navigating the Coding Conundrum [Feature] Here’s how to quickly identify whether you’re on the path to a 99214 versus a 99213. November/December 2014 Issue When Is It Right to Code 99215? [Feature] Knowing the rules will give you the...

Family Practice Management

https://www.aafp.org/fpm/viewRelatedDocumentsByTaxonomy.htm?taxonomyId=53&page=0

Browse FPM Documents on Topic: org.aafp.jms.model.TaxonomyTerm@6a560da2

...99213 or 99214? Three Tips for Navigating the Coding Conundrum [Feature] Here’s how to quickly identify whether you’re on the path to a 99214 versus a 99213. Nov-Dec 2008 Issue Time Is on Your Side: Coding on the Basis of Time [Feature] E/M coding can be so complex...

Family Practice Management

https://www.aafp.org/fpm/viewRelatedDocumentsByTaxonomy.htm?taxonomyId=77

Browse FPM Documents on Topic: org.aafp.jms.model.TaxonomyTerm@221acdda

...Coding "Routine" Office Visits: 99213 or 99214? [Feature] Before choosing 99213 for routine visits, consider whether your work qualifies for a 99214. Jun 2005 Issue Are You Prepared to Defend Your Coding? [Getting Paid] The authors offer readers an action plan to use...

Family Practice Management

https://www.aafp.org/fpm/viewRelatedDocumentsByTaxonomy.htm?taxonomyId=75

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

Good news from Medicare, over time

Good news from Medicare, over time

Family Practice Management : FPM

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

July/August 2018

...99213 or 99214? Three Tips for Navigating the Coding Conundrum Richelle Marting How to Create a Culture of Well-Being in Your Practice Mark H. Greenawald Patient Inducements: The New Dos and Don'ts Alice G. Gosfield Teach-Back: A Simple Technique to Enhance...

Family Practice Management

https://www.aafp.org/fpm/2018/0700/

July/August 2018

...99213 or 99214? Three Tips for Navigating the Coding Conundrum Richelle Marting How to Create a Culture of Well-Being in Your Practice Mark H. Greenawald Patient Inducements: The New Dos and Don'ts Alice G. Gosfield Teach-Back: A Simple Technique to Enhance...

Family Practice Management

https://www.aafp.org/fpm/2018/0700

Sep 2005

...Coding "Routine" Office Visits: 99213 or 99214? Peter R. Jensen Departments From the Editor New and Improved for You Leigh Ann Backer Editorial Ten Hard Questions About the Future of the Specialty Douglas Iliff Coding & Documentation • Hypertension...

Family Practice Management

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

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

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

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

Early Thoughts on the 2019 Fee Schedule

AAFP staff members are reviewing the 2019 Medicare physician fee schedule. In the latest In the Trenches post, Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin shares some initial reactions based on the Academy's early evaluation of the proposal.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180731itt_feeschedule.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

Fighting for a Fee Schedule That Works for You, Your Patients

The AAFP is working on a detailed response to the proposed 2019 Medicare physician fee schedule that steers CMS toward fixes that will help family physicians give patients the comprehensive, continuous care they expect.

AAFP News : As We See It: Voices From the AAFP

https://www.aafp.org/news/opinion/20180821presmsg-mpfs.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

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

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