Case Study Corner: Put 25/57 Decision into Focus with These Scenarios

Remember global periods for procedures to ease modifier choice. Evaluation and management (E/M) services that lead to a procedure can perplex coders when it comes [...]

Posted on: 23 February 2017 | 2:02 am

Quiz: Put Your ROS Skills to Use on This Level-Check

Three scenarios, three ROS levels; do you know which is which? Coders that can quickly and accurately identify review of systems (ROS) level are a [...]

Posted on: 23 February 2017 | 2:02 am

Quiz Answers: Put Your ROS Skills to Use on This Level-Check

Three scenarios, three ROS levels; do you know which is which? Check out these answers to the review of systems (ROS) quiz on page 20. [...]

Posted on: 23 February 2017 | 2:02 am

Reader Question: Tread Carefully with Preventive Visit-E/M Combo

Question: Our pediatrician often performs initial comprehensive preventive medicine services for patients. If the patient has a problem-focused complaint during one of these preventive encounters, can we report a [...]

Posted on: 23 February 2017 | 2:02 am

Reader Question: Choking Dx Choice Is 'Feeding Difficulties'

Question: Our physician evaluated a newborn baby whose mother said that the child would often get choked up while being fed and would then spit up the milk. I [...]

Posted on: 23 February 2017 | 2:02 am

You Be the Coder: Non-Surgical Services for Recovering Surgery Patients

Question: One of our patients underwent emergency appendectomy surgery at the local emergency department (ED) at 11 p.m. on Thursday night. The next day, our pediatrician was called to [...]

Posted on: 23 February 2017 | 2:02 am

E/M Coding: Read This FAQ for the 411 on ROS

You cannot choose an E/M code before settling on ROS level. One of the important aspects of evaluation and management (E/M) coding is history, and [...]

Posted on: 23 February 2017 | 1:02 am

Procedure Coding: Avoid Pay Cut, Learn When Laceration Code Is Correct

For primary care providers, this service often walks the E/M-procedure line. Spring is nigh, as are patients reporting to the pediatrician with the first few [...]

Posted on: 23 February 2017 | 1:02 am

E/M Coding: Code Prolonged Service After Discovering the Provider

Different staff has different CPT® codes to report. If your provider performs a prolonged, in-office evaluation and management (E/M) service with direct patient contact, coding [...]

Posted on: 24 January 2017 | 6:01 am

You Be the Coder: Modifiers and Multiple Fracture Care Coding

Question: Encounter notes indicate that the physician performed a level-four evaluation and management (E/M) service for a patient before performing a pair of procedures: closed treatment of the phalanges [...]

Posted on: 24 January 2017 | 6:01 am