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99213

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11 Tips for More Productive Billing -- FPM

Mar 1, 2002 - The author, a practice administrator, offers 10 tips for improving the efficiency of billing and collection processes.

Family Practice Management : Articles

https://www.aafp.org/fpm/2002/0300/p16.html

1995-2006 Index of Board Minutes

...B2004, August 4-7, p. 25. Approval of a recommendation that, for evaluation and management (E/M) codes 99213-99215 and 99232-99233, the Academy reaffirm its commitment to the 25 th percentile of work relative value units (RVUs) resulting from the survey of medical specialty...

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/congress/restricted/1995-2006BoardIndex.pdf

1997-2008 Index of Board Minutes

...B2004, August 4-7, p. 25. Approval of a recommendation that, for evaluation and management (E/M) codes 99213-99215 and 99232-99233, the Academy reaffirm its commitment to the 25 th percentile of work relative value units (RVUs) resulting from the survey of medical specialty...

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/congress/restricted/1997-2008BoardIndex.pdf

2000-2010 Index of Board Minutes

...B2004, August 4-7, p. 25. Approval of a recommendation that, for evaluation and management (E/M) codes 99213-99215 and 99232-99233, the Academy reaffirm its commitment to the 25 th percentile of work relative value units (RVUs) resulting from the survey of medical specialty...

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/congress/restricted/2000-2010BoardIndex.pdf

2018-mips-playbook.pdf

...O24.83 AND Patient encounter during performance period (CPT or HCPCS): 97802, 97803, 97804, 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99217, 99218, 99219, 99220, 99221, 99222, 99223, 99231, 99232, 99233, 99238, 99239, 99281, 99282, 99283, 99284, 99285,...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/restricted/2018-mips-playbook.pdf

2021 Office Visit Evaluation and Management Documentation Changes

...1. Straightforward (CPT codes 99202 and 99212) 2. Low (CPT codes 99203 and 99213) 3. Moderate (CPT codes 99204 and 99214) 4. High (CPT codes 99205 and 99215) 5. MDM and CPT code 99211 6. Separately reported interpretation and/or report D. Workflow 1. Documentation...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/restricted/EM-Practice-Training-Outline.pdf

33 hill newpatient.qxd

...99213 Expanded problem-focused Expanded problem-focused Low 15 99214 Detailed Detailed Moderate 25 99215 Comprehensive Comprehensive High 40 Two of the three key components must be met. New Patient Established Patient September 2003 ■ www.aafp.org / fpm ■ F A M I L...

Family Practice Management

https://www.aafp.org/fpm/2003/0900/fpm20030900p33.pdf

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

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 -- FPM

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 : Quick Tips : FPM Home

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

A New Year's Present From Medicare -- and Three From FPM -- FPM

Jan 1, 1998 - Alludes to HCFA's delay in enforcing the new version of the documentation guidelines, introduces online version of FPM Quiz.

Family Practice Management : Opinion

https://www.aafp.org/fpm/1998/0100/p6.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

AAFP Comment Letter on 2019 Final Medicare Physician Fee Schedule - December 28, 2018

...and that the physician personally spent the current typical time for the CPT code reported (e.g., 15 minutes when reporting CPT code 99213). We support this plan and strongly urge CMS to implement it in 2020. This is the same approach now used when physicians code based on time...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/LT-CMS-2019FinalMPFS-122818.pdf

AAFP COVID-19 Related Loss Calculator

...99213 Established Patient E/M - Level 3 $ 76.15 $ - 0 $ - 0 $ - 0 $ - 0 99214 Established Patient E/M - Level 4 $ 110.43 $ - 0 $ - 0 $ - 0 $ - 0 99215 Established Patient E/M - Level 5 $ 148.33 $ - 0 $ - 0 $ - 0 $ - 0 ‼Includes E/M services provided via telehealth 0 $ -...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/prevention/crisis/AAFP-COVID-19-Related-LossCalculator.xlsx

AAFP FMX 2020

...99211 99212 10-19 99202 15-29 99213 20-29 99203 30-44 99214 30-39 99204 45-59 99215 40-54 99205 60-74 13 14 9/22/2020 8 Prolonged Services - new code •Prolonged office or other outpatient evaluation and management service(s) (beyond the total time of the primary...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-116.pdf

AAFP FMX 2020

...99211 (5m) 99212 (10m) 99213 (15m) 99214 (25m) 99215 (40m) • Time based documentation 15 minutes of this 25 minute visit was spent counseling regarding diabetes self-management, diet and exercise Use telehealth codes and conduct MI by video or telephone telehealth visit when...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx20-088.pdf

AAFP Letter to CMS Requesting Codes to be Added to the "Primary Care Exemption" List - ...

...present. Currently, the following codes are on the primary care exception list: • 99201, 99202, 99203 - New patient visits • 99211, 99212, 99213 - Follow-up patient visits • G0402, G0438, G0439 - Welcome to Medicare and Annual Wellness Visits With the proliferation of new...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-PrimaryCareExemption-100919.pdf

AAFP Letter to CMS with Final Comments on the 2019 Proposed Medicare Physician Fee ...

...patient office visit in counseling/coordination of care and chooses to code on the basis of time, the physician should select code 99213 (typical time of 15 minutes) rather than 99214 (typical time of 25 minutes), because the total time of the encounter did not reach the threshold...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-2019ProposedMPFS-090618.pdf

AAFP News - Feb 1, 2011 - American Family Physician

Feb 1, 2011 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2011/0201/p239.html

AAFP News - Feb 15, 2009 - American Family Physician

Feb 15, 2009 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2009/0215/p259.html

AAFP News - Jan 1, 2011 - American Family Physician

Jan 1, 2011 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2011/0101/p19.html

AAFP News - Jan 15, 2007 - American Family Physician

Jan 15, 2007 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2007/0115/p153.html

AAFP News - May 1, 2009 - American Family Physician

May 1, 2009 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2009/0501/p733.html

AFP-FPM-AFM-FPE-Journal-Policies-Rates-2021.pdf

...Coding Tips for 99213 vs. 99214 5 How to Create a Practice Culture of Well-Being 11 Patient Inducements: Dos and Don’ts 16 A Technique to Enhance Patients’ Understanding 20 From the Editor: Improving Quality Measures 4 Coding QandA: Billing for Well-Woman...

American Family Physician

https://www.aafp.org/dam/AAFP/documents/journals/afp/AFP-FPM-AFM-FPE-Journal-Policies-Rates-2021.pdf

afp20200915p330.pdf

...Established Patient 99211 (see specific guidance on back page) 99212 (10-19 min.) 99213 (20-29 min.) 99214 (30-39 min.) 99215 (40-54 min.) 2021 GUIDELINES FOR CALCULATING TOTAL TIME Code selection using total time should be based on the total time spent in care of the patient on the...

American Family Physician

https://www.aafp.org/afp/2020/0915/afp20200915p330.pdf

afp20201001p389.pdf

...Established Patient 99211 (see specific guidance on back page) 99212 (10-19 min.) 99213 (20-29 min.) 99214 (30-39 min.) 99215 (40-54 min.) 2021 GUIDELINES FOR CALCULATING TOTAL TIME Code selection using total time should be based on the total time spent in care of the patient on the...

American Family Physician

https://www.aafp.org/afp/2020/1001/afp20201001p389.pdf

AHRQ’s Tools for Better Practice: Helping Family Physicians Manage Today’s Challenges

November 1, 2017: Editorials

American Family Physician

https://www.aafp.org/afp/2017/1101/afp20171101p569.pdf

Americans in Motion - Healthy Interventions: A Guide to Group Visits for Chronic ...

Research indicates group visits can also provide an improved quality of care and a higher level of patient and physician satisfaction. They empower patients and also the physician and staff. Group visits allow for more time for education and relationship building. Group visits have ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/fitness/GroupVisitAIM.pdf

An Easy Way to Analyze E/M Coding for Group Practices -- FPM

Aug 1, 2002 - The author describes how practices can analyze their CPT coding distributions and determine whether they are billing for an appropriate range of services.

Family Practice Management : Articles

https://www.aafp.org/fpm/2002/0700/p20.html

Answers to Your Questions on Solo, Idealized Practice -- Family Practice Management

...on what the patient wants but what the patient wants and needs. I document what I do and bill appropriately for that work. I do in fact have 99213 and even 99212 visits, as there are occasions where those codes best approximate what my patients want and need. When do you find...

Family Practice Management

https://www.aafp.org/fpm/2002/0500/fpm20020500p39.pdf

Answers to Your Questions on Solo, Idealized Practice -- FPM

May 1, 2002 - How does a solo doc with no support staff manage his referrals, order his supplies and give immunizations? Gordon Moore, MD, answers those questions and more.

Family Practice Management : Articles

https://www.aafp.org/fpm/2002/0500/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

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

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

Ask FPM - Mar 2000 -- FPM

Mar 1, 2000 - ...by Medicare and many other third-party payers to determine physician reimbursement, a level-III established patient office visit (i.e., code 99213) has a total of 1.29 RVUs assigned to it. Under RBRVS, a code's total RVUs is the sum of three components: work RVUs, practice-expense...

Family Practice Management : Q&As

https://www.aafp.org/fpm/2000/0300/p60.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

Browse FPM Documents on Topic: org.aafp.jms.model.TaxonomyTerm@1149a376

...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@136af737

...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@3accc499

...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=1

Browse FPM Documents on Topic: org.aafp.jms.model.TaxonomyTerm@51838a6b

...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

Browse FPM Documents on Topic: org.aafp.jms.model.TaxonomyTerm@84a8847

...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

Changes Proposed for the E/M Documentation Guidelines -- FPM

Jun 1, 1998 - The article reports on the results of the recently announced delay in implementation of the Medicare E/M documentation guidelines and summarizes possible changes in the content of the guidelines.

Family Practice Management : Articles

https://www.aafp.org/fpm/1998/0600/p14.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

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 -- FPM Topic Collection

Jul 23, 2010 - This article collection features popular FPM content on the subject of coding -- from getting all the 99214s you deserve to differentiating between new and established patient visits. This article collection features popular FPM content on the subject of coding -- from getting all the ...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=49

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

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 & Documentation - Apr 1999 -- FPM

Apr 1, 1999 - ...Can I code 99455 for a work-related or medical disability evaluation as well as a regular office-visit code (such as 99213) for the same encounter, if it's appropriate? A Yes. Code 99455 is one of three used to report evaluations required for life or disability insurance...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/1999/0400/p12.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

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