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99213

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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

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

Four tips to help you spend less time charting

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

Family Practice Management : FPM

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

FPM Past Issues 2005

FPM issues 2005

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/issues/2005.html

FPM Past Issues 2018

FPM 2018 Past issues

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/issues/2018.html

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 Letters • Taking Care of Children • Is...

Family Practice Management

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

Practice management

FPM "In Practice" blog posts on the topic of practice management

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/inpractice/practicemanagement.start-ind-aafp-link-pile-140.html

Quick Tips

Quick Tips, a blog from FPM journal

Family Practice Management : FPM

https://www.aafp.org/journals/fpm/blogs/inpractice.start-ind-aafp-link-pile-310.html

Five Common Coding Mistakes That Are Costing You -- FPM

Apr 1, 2011 - Fix these problems to increase your bottom line.

Family Practice Management : Articles

https://www.aafp.org/fpm/2011/0300/p31.html

Documenting History in Compliance With Medicare's Guidelines -- FPM

Apr 1, 2010 - The difference between one level and the next may be no more than a word or two.

Family Practice Management : Articles

https://www.aafp.org/fpm/2010/0300/p22.html

Understanding When to Use the New Patient E/M Codes -- FPM

Sep 1, 2003 - Even an old patient can be new.

Family Practice Management : Articles

https://www.aafp.org/fpm/2003/0900/p33.html

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

https://www.aafp.org/fpm/2007/0100/p21.html

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

https://www.aafp.org/fpm/2010/0700/p27.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

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

https://www.aafp.org/fpm/2010/0500/p7.html

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

https://www.aafp.org/fpm/2009/1100/p18.html

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

https://www.aafp.org/fpm/2008/1100/p22.html

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

https://www.aafp.org/fpm/2009/0900/p30.html

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