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
2021 outpatient office E/M changes FAQ -- FPM
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 : Quick Tips : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/em_changes_FAQ.html
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 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 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
afp20201015p505.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/2020/1015/afp20201015p505.pdf
afp20201115p629.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/2020/1115/afp20201115p629.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@580b3157
...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@5b005a0b
...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@655ce5d0
...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@7b00ec5f
...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@af0739
...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
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
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
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
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
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
Coding & Documentation - Jul 2001 -- FPM
Aug 1, 2001 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum The 2021 Office Visit Coding Changes: Putting the Pieces Together Coding Flu Shots: Immunize Against Lost Revenue Editor's Collections Coding ICD-10 Coding Coding & Documentation Related Topic Searches...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2001/0700/p16.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
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