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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.

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.

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

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

What's your coding profile? -- FPM

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 : Getting Paid : FPM Home

Think 99214 if you see these problems or procedures -- FPM

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 : Quick Tips : FPM Home

Four tips to help you spend less time charting -- FPM

To get through your routine documentation more efficiently and reduce work after clinic, try these tips.

Family Practice Management : Quick Tips : FPM Home

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

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

E-Prescribing codes for 2012 -- FPM

E-Prescribing codes for 2012

Family Practice Management : Getting Paid : FPM Home

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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