Experience. Integrity. Advocacy.
Experience. Integrity. Advocacy.

Coding

Providing, Documenting, and Coding Medication Assisted Treatment in the ED

Emergency departments serve on the frontline of the fight against drug overdoses and opioid use disorder. While there have been several barriers to providing and billing for medication assisted treatment in the ED, many of those barriers have been reduced or eliminated. When emergency physicians do administer and/or prescribe MAT, here’s what they should document and code for their services. READ MORE

New Guidelines for Coding Split (or Shared) E/M Visits and Critical Care Services

In the final rule of the 2022 Medicare Physician Fee Schedule, CMS made several changes to their longstanding policies for split (or shared) evaluation and management (E/M) visits and Critical Care Services. Here’s an overview of the new policies, along with some documentation and coding suggestions.
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Robotic Process Automation and Medical Billing

If the phrase “robotic process automation” (or RPA) has you picturing an R2D2-style droid floating around the medical billing office of the future doing filing and data entry, then you’ve got it all wrong. This futuristic-sounding tool can help with medical billing tasks, but its applications are available now and are already working behind the scenes across the medical billing industry. No metallic droids needed. READ MORE

2022 Proposed Medicare Physician Fee Schedule: What Emergency Physicians Need to Know

The Centers for Medicare and Medicaid Services recently published the proposed draft of the Medicare Physician Fee Schedule for 2022. In addition to the annual conversion factor update, the Proposed Rule also recommends changes to several payment policies. We’ve highlighted a few of the biggest for emergency physicians below. READ MORE

2022 Proposed Medicare Physician Fee Schedule: What You Need to Know

The Centers for Medicare and Medicaid Services recently published the proposed draft of the Medicare Physician Fee Schedule for 2022. At the heart of the MPFS is the annual conversion factor update. After legislatively mandated adjustments, including the expiration of the 3.75 percent payment increase provided for CY 2021 by the Consolidated Appropriations Act, the 2022 conversion factor will be $33.58, a $1.31 (or 3.75 percent) decrease from the final CY 2021 PFS conversion factor of $34.89. READ MORE

CMS Releases Critical Care CBRs for Second Year in a Row

The Centers for Medicare and Medicaid Services is once again releasing Comparative Billing Reports to some providers who perform critical care evaluation and management services. This time, they will be analyzing claims that occurred in part during the COVID-19 public health emergency, with dates of service from Jan. 1, 2020, through Dec. 31, 2020. READ MORE

Pre-Anesthesia Evaluation, Pre-Surgery History & Physical, and Separately Reported E/M Services: Know the Difference

While recent changes to office or other outpatient evaluation and management coding and billing guidelines may not affect anesthesiologists most of the time, there are instances when knowing the new rules will come in handy, especially with patients who have complex medical co-morbidities. READ MORE

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