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team-based care

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Coding & Documentation - Mar-Apr 2009 -- FPM

Apr 1, 2009 - ...Implementing Ambulatory Blood Pressure Monitoring in Primary Care Practice Coding Changes for Family Medicine in 2018 Editor's Collections Preventive Care Coding Medicare Annual Wellness Visits Coding & Documentation Related Topic Searches CPT: Preventive...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2009/0300/p32.html

Coding & Documentation - Mar-Apr 2010 -- FPM

Apr 1, 2010 - ...does not permit providers to bill Medicaid or beneficiaries any fee for missing a scheduled appointment. This may be true of some managed care contracts as well. On the other hand, the Centers for Medicare and Medicaid Services allows physicians and suppliers to charge Medicare...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2010/0300/p46.html

Coding & Documentation - Mar-Apr 2011 -- FPM

Apr 1, 2011 - ...different hospitals, the first physician could bill the discharge management code and the second physician could bill an initial hospital care code, according to Medicare instructions. 99211 visits Q Is it necessary for a physician to be present for a 99211 service? A The presence...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2011/0300/p37.html

Coding & Documentation - Mar-Apr 2012 -- FPM

Apr 1, 2012 - ...Preventive Care Medicare Annual Wellness Visits Coding & Documentation Related Topic Searches Medicare fee schedule HCPCS codes Preventive care MOST RECENT ISSUE Jan-Feb 2021 Access the latest issue of FPM journal Read the Issue FPM E-Newsletter Sign...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2012/0300/p32.html

Coding & Documentation - Mar-Apr 2013 -- FPM

Apr 1, 2013 - ...30 kg/m2 or greater and who are competent and alert at the time of counseling. A qualified primary care physician or other primary care provider must perform the counseling in a primary care setting. This could include one face-to-face visit every week for month 1 and one...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2013/0300/p32.html

Coding & Documentation - Mar-Apr 2014 -- FPM

Apr 1, 2014 - ...for your practices' most common diagnoses. Start with a manageable number of conditions and charts per physician or other qualified health care professional. You can pull a report of the most commonly reported ICD-9 diagnosis codes from your billing system, or use a more generalized...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2014/0300/p27.html

Coding & Documentation - Mar-Apr 2015 -- FPM

Apr 1, 2015 - ...The service must be provided and reported by a primary care physician or other qualified health care professional in a primary care setting, The place of service code must be 11 (office), 22 (out-patient), 49 (independent clinic), or 72 (rural health clinic), The National Correct...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2015/0300/p30.html

Coding & Documentation - Mar-Apr 2016 -- FPM

Apr 1, 2016 - ...care planning Coding bilateral procedures Data elements and medical decision-making Multiple digit procedures Injured extremity examination Advance care planning Q Who can provide advance care planning (CPT codes 99497 and 99498)? A Only a physician or other qualified health care...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2016/0300/p32.html

Coding & Documentation - Mar-Apr 2017 -- FPM

Apr 1, 2017 - ...chronic care management Dietitian incident-to billing Electronic health record problem lists New and improved rules for chronic care management Q What are the 2017 changes to Medicare's requirements for chronic care management? A Medicare has expanded coverage for chronic care...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2017/0300/p36.html

Coding & Documentation - Mar-Apr 2018 -- FPM

Apr 1, 2018 - Time spent on chronic care management vs. time spent on E/M services | ICD-10 coding for bug bites | Billing for palliative care visits

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2018/0300/p41.html

Coding & Documentation - Mar-Apr 2019 -- FPM

Apr 1, 2019 - Coding for immunization counseling | How to report after-hours clinic services | Who is eligible for chronic care management?

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2019/0300/p31.html

Coding & Documentation - May 2000 -- FPM

May 1, 2000 - ...Subsequent hospital care Follow-up visits Q A great deal of what family physicians do involves following up on patients' problems. For example, let's say a patient of mine was treated for three problems on the previous visit and now comes to me for follow-up. During the visit, I ask...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2000/0500/p22.html

Coding & Documentation - May 2001 -- FPM

May 1, 2001 - ...Normal newborn care Lab results review, revisited E/M code + procedure code? Q Can we code and be reimbursed for an evaluation and management (E/M) code and a procedure code such as 17000 (for cryosurgery of one lesion) provided during the same encounter only if the patient is a new...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2001/0500/p21.html

Coding & Documentation - May 2002 -- FPM

May 1, 2002 - ...Initial hospital care codes Peak-flow rate and E/M Digital nerve block and nail removal Initial hospital care codes Q Often an on-call doctor will see one of my patients and call in the admission to the hospital, but I’ll do the history and physical associated with the admission....

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2002/0500/p25.html

Coding & Documentation - May 2003 -- FPM

May 1, 2003 - ...hospital care codes for that visit? A To submit one of the initial hospital care codes (99221–99223) for the services you provide to the patient on day two, you must meet the requirements of those codes. The documentation used to support the level of initial observation care cannot...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2003/0500/p17.html

Coding & Documentation - May 2004 -- FPM

May 1, 2004 - ...Low-level initial hospital care Office visit and injection Emergency inpatient consultations Two skin lesion biopsies Lab prep codes Coding the use of Dermabond Splinter removal Coding a comparison X-ray Documenting time Q I recently created an office visit template that includes...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2004/0500/p29.html

Coding & Documentation - May 2005 -- FPM

May 1, 2005 - ...making that governs code selection in most instances. One exception to this is an office visit where counseling and/or coordination of care consume more than 50 percent of the physician-patient encounter. In that situation, it is appropriate to code based on the total time the...

Family Practice Management : Coding & Documentation

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

Coding & Documentation - May 2006 -- FPM

May 1, 2006 - ...and the admitting physician may bill the initial hospital care service. However, if both physicians are of the same specialty as well as the same practice, the payer may bundle the ED services into the initial inpatient care services. Debridement services Q Is it correct to bill...

Family Practice Management : Coding & Documentation

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

Coding & Documentation - May 2007 -- FPM

May 1, 2007 - ...An Update on Certifying Home Health Care Editor's Collections Coding Medicare Medicare Annual Wellness Visits Coding & Documentation Related Topic Searches CPT: Office visit codes Medicare CPT: Modifier -25 HCPCS codes MOST RECENT ISSUE Jan-Feb 2021...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2007/0500/p16.html

Coding & Documentation - May 2008 -- FPM

May 1, 2008 - ...ICD-9 coding for palliative care Stress tests Q Can I be paid for both supervision of a stress test conducted at the hospital and interpreting and reporting the results? Does the hospital bill facility charges under a different code? A Yes. You should bill for these services using...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2008/0500/p38.html

Coding & Documentation - May-Jun 2009 -- FPM

Jun 1, 2009 - ...Q If all of your previous visits with a patient have been for acute care and then the patient makes an appointment for a physical, can you bill that as a new patient physical? A The preventive medicine service codes define new and established patients the same way the other...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2009/0500/p28.html

Coding & Documentation - May-Jun 2010 -- FPM

Jun 1, 2010 - ...for the next few days for cleaning, application of topical medication and redressing, until the wound began to heal. How should I code this care? A The wound repair codes typically have a 10-day global period, so the follow-up services you describe are not reimbursable. Most payers...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2010/0500/p35.html

Coding & Documentation - May-Jun 2011 -- FPM

Jun 1, 2011 - ...Preventive Care Coding Medicare Annual Wellness Visits Coding & Documentation Related Topic Searches CPT: Preventive medicine codes CPT: Pathology and laboratory codes HCPCS codes MOST RECENT ISSUE Jan-Feb 2021 Access the latest issue of FPM journal Read...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2011/0500/p37.html

Coding & Documentation - May-Jun 2012 -- FPM

Jun 1, 2012 - ...Risk Adjustment in Team-Based Care Understand the basics of risk adjustment and how it is used in value-based payment (VBP) arrangements. Learn strategies to thrive in VBP and risk-adjustment models to optimize payment while providing high-quality patient care. Incorporating...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2012/0500/p32.html

Coding & Documentation - May-Jun 2013 -- FPM

Jun 1, 2013 - ...Preventive Care Medicare Annual Wellness Visits Coding & Documentation Related Topic Searches CPT: Immunization codes CPT: Preventive medicine codes MOST RECENT ISSUE Jan-Feb 2021 Access the latest issue of FPM journal Read the Issue FPM E-Newsletter...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2013/0500/p43.html

Coding & Documentation - May-Jun 2014 -- FPM

Jun 1, 2014 - ...Transitional care management E-prescribing penalties E/M coding and preventive visits Q If a new patient comes in for a preventive visit and the physician also addresses a significant, separately identifiable and documented problem, we bill for the additional E/M service with...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2014/0500/p29.html

Coding & Documentation - May-Jun 2015 -- FPM

Jun 1, 2015 - ...Changes to supervision of transitional care management Coding newborn visits Replacing modifier 59 with HCPCS modifiers Changes to supervision of transitional care management Q Do incident-to provisions no longer apply to transitional care management services? A The Centers for...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2015/0500/p30.html

Coding & Documentation - May-Jun 2016 -- FPM

Jun 1, 2016 - ...such as level IV and level V new patient office visits. New patient office or other outpatient visits, observation services, initial hospital care, consultations, comprehensive nursing facility assessments, new patient domiciliary and new patient home visits must include all three...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2016/0500/p36.html

Coding & Documentation - May-Jun 2017 -- FPM

Jun 1, 2017 - ...Defining 24/7 access to care for chronic care management services Same-day outpatient and hospital care Billing for physicians while credentialing is pending Q A new physician in my practice is awaiting credentialing. In the meantime, should he bill as a locum tenens physician? A...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2017/0500/p34.html

Coding & Documentation - May-Jun 2018 -- FPM

Jun 1, 2018 - ICD-10 coding for hypertension and diabetes | Physician certification of diabetic shoes | Umbilical cauterization

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2018/0500/p33.html

Coding & Documentation - May-Jun 2019 -- FPM

Jun 1, 2019 - Same-day return visit | Modifier for incident-to services | Inpatient care billing by teaching physician | Biopsy of the outer ear | Multiple X-rays

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2019/0500/p31.html

Coding & Documentation - Nov 1998 -- FPM

Dec 1, 1998 - ...the carrier should be happy to accept the check and leave it at that. If you aren't comfortable with this approach, contact your health care attorney for advice. You should also retrain staff to ensure that this type of error won't be repeated, and document these efforts and any...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/1998/1100/p15.html

Coding & Documentation - Nov 1999 -- FPM

Dec 1, 1999 - ...Risk Adjustment in Team-Based Care Understand the basics of risk adjustment and how it is used in value-based payment (VBP) arrangements. Learn strategies to thrive in VBP and risk-adjustment models to optimize payment while providing high-quality patient care. Incorporating...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/1999/1100/p14.html

Coding & Documentation - Nov 2000 -- FPM

Dec 1, 2000 - ...Telephone care Postoperative management only Defining risk Defining HPI Mental status assessment Q What CPT code should I use for the assessment of mental status through the administration of standardized instruments? A The series of CPT codes from 96100 to 96117 are used to report...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2000/1100/p17.html

Coding & Documentation - Nov 2001 -- FPM

Dec 1, 2001 - ...According to CPT, a patient is considered an outpatient until he or she is admitted as an inpatient to a health care facility. Since there are no CPT codes specific to an outpatient hospice setting, I would recommend using the office or other outpatient services codes (99201-99215)....

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2001/1100/p16.html

Coding & Documentation - Nov 2002 -- FPM

Dec 1, 2002 - ...codes are used to report observation or inpatient hospital care services provided to patients admitted and discharged on the same date of service. Note that Medicare requires the patient to be an inpatient or an observation care patient for a minimum of eight hours on the same...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2002/1100/p30.html

Coding & Documentation - Nov 2003 -- FPM

Dec 1, 2003 - ...room and the patient requires fracture care on the right arm and some strapping on the left arm, you may need to attach modifier -59 to the strapping code to indicate that it was separate from and should not be bundled with the fracture care, which includes the initial cast, strap...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2003/1100/p19.html

Coding & Documentation - Nov 2004 -- FPM

Dec 1, 2004 - ...code. CPT states that when a physician other than the attending physician provides concurrent care services, that physician should submit the appropriate subsequent hospital care codes (9923199233) on the day of discharge. So, if you are the attending physician, you should submit...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2004/1100/p35.html

Coding & Documentation - Nov 2005 -- FPM

Dec 1, 2005 - ...Billing for care plan oversight Coding an initial consultation Q What code should I use for an initial office consultation that takes about 1.5 hours? A Choose the appropriate office or other outpatient consultation code based on the key components (history, exam and decision...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2005/1100/p24.html

Coding & Documentation - Nov 2006 -- FPM

Dec 1, 2006 - ...in CPT are typical for each of the office visits, but there is no requirement associated with them unless counseling or coordination of care accounts for more than 50 percent of the face-to-face time of the encounter. In such cases, you can code on the basis of time (see Time Is of...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2006/1100/p27.html

Coding & Documentation - Nov 2007 -- FPM

Dec 1, 2007 - ...Initial hospital care and 99221 Prothrombin time testing with 99211 Trigger point injections Removing multiple lesions 90805 includes E/M services Using test results as a diagnosis NPs and care plan oversight Same code for same procedure Q I am planning to perform several procedures...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2007/1100/p15.html

Coding & Documentation - Nov 2008 -- FPM

Dec 1, 2008 - ...Wound care Office visit or emergency service? 99058 for in-office emergency PQRI reporting Mental health status assessment Coding blood-pressure checks Q What code should we use to bill for a blood-pressure check? A If the visit was scheduled at the request of the physician, you can...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2008/1100/p37.html

Coding & Documentation - Nov-Dec 2009 -- FPM

Dec 1, 2009 - ...Risk Adjustment in Team-Based Care Understand the basics of risk adjustment and how it is used in value-based payment (VBP) arrangements. Learn strategies to thrive in VBP and risk-adjustment models to optimize payment while providing high-quality patient care. Incorporating...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2009/1100/p30.html

Coding & Documentation - Nov-Dec 2010 -- FPM

Dec 1, 2010 - ...Site of service for initial hospital care Billing separate services for OB patients Anticoagulation management Q If a patient comes to my office, has an INR drawn and reviewed by a provider, and sees a nurse for instructions, can we bill a 99211? A First, this depends on whether the...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2010/1100/p33.html

Coding & Documentation - Nov-Dec 2011 -- FPM

Dec 1, 2011 - ...An eye exam is not required for the annual wellness visit but is required for the Welcome to Medi-care physical. In this patient's case, it should be sufficient to note that the exam was not conducted due to a recent exam by another provider. If available, document the results of...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2011/1100/p39.html

Coding & Documentation - Nov-Dec 2012 -- FPM

Dec 1, 2012 - ...Initial vs. subsequent nursing facility care Modifier 52 Medicare annual wellness visit shortcut Documenting time Q Is it necessary to document the time at the beginning and end of the patient encounter to show that the visit lengths included in CPT's office visit code definitions...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2012/1100/p31.html

Coding & Documentation - Nov-Dec 2013 -- FPM

Dec 1, 2013 - ...Modifier 25 communicates that a significant, separately identifiable E/M service was provided by the same physician or other qualified health care professional on the same day as another service or procedure. That said, it is important to recognize when an E/M service goes beyond...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2013/1100/p28.html

Coding & Documentation - Nov-Dec 2014 -- FPM

Dec 1, 2014 - ...about reporting these services incident-to your physicians' services if they do not represent a continuation of the physician's plan of care for the patient, are not an expense to the physician, are not provided with the physician present in the office suite (where he or she can...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2014/1100/p30.html

Coding & Documentation - Nov-Dec 2015 -- FPM

Dec 1, 2015 - ...S81.811D, for subsequent care of a laceration without foreign body of the right lower leg). Seventh character D (subsequent encounter) is used for encounters after the patient has received active treatment of the condition and is receiving routine care for the condition during the...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2015/1100/p39.html

Coding & Documentation - Nov-Dec 2016 -- FPM

Dec 1, 2016 - ...We have been advised that due to new ICD-10 guidelines, codes for body mass index (BMI) should be reported only when the BMI impacts the care of the patient. However, measuring and reporting the BMI is tied to a quality initiative. Can we report BMI codes when the measurement is...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2016/1100/p31.html

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