July 2017 Default Cover Image
Here's why high-level E/M codes mean more moneyWhen documented and coded appropriately, high-level E/M codes translate into greater reimbursement than their lower-level counterparts
Prolonged services payments on the riseThe good news is that payment for prolonged services rose in 2017. The bad news is that the feds are taking a closer look at use of these codes.
Are your CCM codes correct?Greater scrutiny of CCM services could be on the way, perhaps even denials. So physicians should ensure they are coding the right way the first time.
Is advanced care planning billable?Physicians can bill advanced care planning regardless of whether a patient fills out the relevant legal forms, but should review payer contracts to ensure it is a billable service.
How to avoid TCM coding denialsCMS and most commercial payers began to pay for TCM in 2013, but physicians continue to see denials. Experts believe there could be several reasons why.