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99213

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Coding & Documentation - May 2006 -- FPM

May 1, 2006 - ...In the past, I have always billed 99213 with CPT injection code 90782 and HCPCS injection codes J1100 and J1030. Recently, the insurance company has denied the office visit as invalid with CPT code 90782. What are we doing wrong? A First, 90782 is not valid in 2006; instead use...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2006/0500/p32.html

News & Trends - Apr 2006 -- FPM

Apr 1, 2006 - ...under Medicare has increased from 20 percent in 2002 to 25.6 percent in 2004, according to data from CMS. The percentages for codes 99212 and 99213 have decreased. View/Print Table Medicare allowed services provided by family physicians 200220032004 E/M codeNumberPercentage of...

Family Practice Management : News Briefs

https://www.aafp.org/fpm/2006/0400/p26.html

News & Trends - May 2006 -- FPM

May 1, 2006 - ...billed by family physicians and should pay for them fairly. Recently, Anthem of Southern Ohio announced it would begin reimbursing codes 99213 and 99214 at a blended rate. In an April 7 letter, AAFP Board Chair Mary Frank, MD, justified the increase in high-level E/M codes, noting...

Family Practice Management : News Briefs

https://www.aafp.org/fpm/2006/0500/p26.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

How Do You Cope With Bundled Claims? -- FPM

Apr 1, 2006 - Don’t cheat yourself. That’s the health plan’s job.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2006/0400/p14.html

Meet Dr. Wonderful -- FPM

Sep 1, 2005 - This doll tells people exactly what they want to hear.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2005/0900/p68.html

ICD-9 Changes: It's Time to Tend to Your Superbill -- FPM

Sep 1, 2005 - You’ve got until Oct. 1 to weed out incorrect codes.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/0900/p49.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

The Value of a Coding Education -- FPM

Mar 1, 2005 - The authors describe options for physicians and members of their staff who want to obtain certification in coding.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/0300/p20.html

Coding & Documentation - May 2005 -- FPM

May 1, 2005 - ...otherwise does not meet the definition of a consultation, the office encounter should be coded using an office/outpatient visit code, such as 99213. In either case, modifier -25 should be appended to the E/M code to indicate that it was a significant, separately identifiable service...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2005/0500/p27.html

Coding Better for Better Reimbursement -- FPM

Jan 1, 2003 - Your work is worth more than you think. You just need to document and code it better.

Family Practice Management : Articles

https://www.aafp.org/fpm/2003/0100/p29.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

Why It's Time to Purchase an Electronic Health Record System -- FPM

Dec 1, 2004 - The old reasons for holding off may have lost their validity.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/1100/p43.html

Coding for Depression Without Getting Depressed -- FPM

Mar 1, 2004 - Here is what you need to know to code and be reimbursed for counseling and treating patients with depression.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/0300/p23.html

Group Visits Hit the Road -- FPM

Sep 1, 2004 - By taking group visits to his elderly patients, this physician found a way to meet their needs and those of his practice - and have fun at the same time.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/0900/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

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

Coding & Documentation - Oct 2003 -- FPM

Oct 1, 2003 - ...Medicare will allow you to submit G0101 in addition to an evaluation and management (E/M) service (e.g., 99213) if the E/M service is significant and separately identifiable from the G0101 service. An example would be if an established Medicare patient with chronic essential...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2003/1000/p16.html

fpm20070100p21.pdf

...(99213) visits - differences that can have a surprisingly significant effect on your bottom line if you don’t understand them well. For example, the 2007 Medicare allowance (not adjusted for geographic differentials) for a 99212 is $37.14, while the allowance for a 99213 is $59.50....

Family Practice Management

https://www.aafp.org/fpm/2007/0100/fpm20070100p21.pdf

fpm20160500p30.pdf

...For example, the report shows that Physician A reports code 99213 almost three times as often as code 99214, although the benchmark ratio is 1.08:1. There are no Medicare wellness visits or transitional care management services reported. There are no smoking cessation services or...

Family Practice Management

https://www.aafp.org/fpm/2016/0500/fpm20160500p30.pdf

Coding Better for Better Reimbursement -- Family Practice Management

...99212 and 99213. The CPT require- ments for these two codes are shown side by side on page 33. As you can see, the differ- ence between the two can be slight.If you don’t fully document the work you do in a visit, you’ll often end up coding 99212s for visits that are easily 99213s....

Family Practice Management

https://www.aafp.org/fpm/2003/0100/fpm20030100p29.pdf

fpm20110900p33.pdf

...status of chronic diseases). A brief HPI includes documentation of one to three of these elements and is consistent with E/M codes 99212 and 99213. Since this is a follow-up visit for well-controlled chronic condi- tions, the HPI doesn’t meet the level of an extended HPI, which...

Family Practice Management

https://www.aafp.org/fpm/2011/0900/fpm20110900p33.pdf

Coding & Documentation - Mar 2001 -- FPM

Mar 1, 2001 - ...with the level of office visit you provided from the time you actually spent in face-to-face contact with the patient. The CPT manual says a 99213 typically involves 15 minutes of face-to-face time. Subtracting 15 from 70 leaves 55 minutes. Prolonged services code 99354 accounts for...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2001/0300/p23.html

Test Your Coding Skills -- Family Practice Management

...Progress note 1 Reviewers’ recommendations: 9939x-25 + 11200 or 99213-25 + 11200 or 99214-25 + 11200 For this visit, three reviewers recommended one of the preven- tive medicine services codes 99391-99397 (determined by the patient’s age, which is not included in this note), 11200...

Family Practice Management

https://www.aafp.org/fpm/2002/0200/fpm20020200p41.pdf

fpm20110300p31.pdf

...Stuck on 99213 Selecting and documenting appropriate levels of E/M services can be challenging for many physicians. Often, code 99213 becomes the default code because physicians think exten- sive documentation will be needed for coding anything higher and they believe 99213 is...

Family Practice Management

https://www.aafp.org/fpm/2011/0300/fpm20110300p31.pdf

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