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
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
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
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 Integrate Clinical Pharmacists Into Primary Care -- FPM
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
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
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
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
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
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
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
Browse FPM Documents on Topic: org.aafp.jms.model.TaxonomyTerm@8579ffc
...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@1ad517e6
...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@44eee3ff
...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
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@7f5c3239
...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@6781f2b
...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
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
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
E-Prescribing codes for 2012
E-Prescribing codes for 2012
Family Practice Management : FPM
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/e_prescribing_codes_for_2012.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 : FPM
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/potential_pitfall_in_medicare_billing.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
What's your coding profile?
Comparing your E/M coding distribution with national benchmarks will help you identify aberrant coding patterns and make adjustments before they raise a red flag with payers or cost your practice money.
Family Practice Management : FPM
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/whats_your_coding_profile.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
Coding office visits the easy way - based on time
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 : FPM
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/coding_office_visits_the_easy_way.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
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
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