CPT Code 99211: Get $23 Per Patient on Nonphysician Work

You can earn an additional $20K per year for nonphysician work. The catch? You must accurately use CPT code 99211 for medical assistant and registered nurse services (which is easier than you think, especially with new changes for 2022!). And you must get it right or your practice could end up at the front of a payor audit list!

If you’re not using CPT code 99211 for your LPN and MA services, you’re giving their time away. But you can stop this practice RIGHT NOW. With a few expert tips, you can rightfully recoup payments for the services your nonphysician staff provide. There really is no downside – as long as you get it right.

Nationally recognized coding expert, Kim Huey, MJ, CHC, CPC, CCS-P, PCS, CPCO, will show you precisely how to accurately use CPT code 99211 and help you get paid more per visit. The impact of 99211 misuse is lost revenue, negative billing costs, and increased audit risk … yet this code can easily make a powerful impact on patient care … and on your bottom line.

By attending this 60-minute online training session, you’ll receive step-by-step guidance on who, when, and how to accurately bill for 99211 services. You’ll also be shown common usage errors that can get you into trouble.

Here are just a few of the practical CPT code 99211 usage strategies you’ll receive during this upcoming online training:

  • Pin down who qualifies to bill using CPT code 99211 to get paid for more visits
  • Improve patient access and reduce wait times by using 99211
  • Faxing and emailing records no no’s you can’t afford to get wrong
  • Simple way to spot and capture billable nurse visits at triage
  • Uncover what services you can and can’t bill using 99211
  • Iron-clad your 99211 visits with medical necessity self-audit simple documentation tips
  • And much more…

You can get paid for more of the services your practice provides, with very little additional work involved – and CPT code 99211 is the key. You’d be surprised how much your peers are getting paid for these “nurse” services.

Here are some of the CPT code 99211 questions you’ll get answered by attending this online training:

  • Does a physician have to be in the office to bill 99211?
  • Is it appropriate to bill 99211 to check TB test results, blood pressure, dressing change, ?
  • Can modifier 25 be used with 99211?
  • Does the nurse doing the procedure or the physician that originally ordered it provide documentation?
  • Can weight checks be billed with 99211?
  • Other than RNs and MAs, who else is eligible to bill for 99211 services?
  • Is place of service a factor when billing for 99211?
  • If a physician orders a patient to return for a blood pressure check and an MA completes and documents the visit, is it billable as 99211?
  • Is chief complaint required in the documentation?
  • Do 99211 services have to be provided face-to-face?
  • Can Hepatitis C virus counseling be billed as 99211?
  • Do incident-to rules apply if a Non-Physician Practitioner ordered the service?
  • Can you bill 99211 when the doctor calls in prescription refills to the pharmacy?
  • Are staff calls to schedule physician-ordered procedures or discuss test results eligible?
  • Can faxing medical records to a hospital or another practice be billed?
  • Can 99211 be billed in conjunction with chronic care management codes?
  • Can both new patients and established patients be billed with CPT code 99211?
  • Is it allowable to bill 99211 for nurse-provided education?

Don’t be one of those practices that avoids using 99211 for fear of denials and audits. You deserve better. Sign up for this expert-led online training and learn how to accurately bill for 99211 services to boost your bottom line and avoid compliance disasters.

Get paid every dime your practice is owed for the services your team provides. Register today for this valuable training and get started using CPT code 99211 to get paid more.

*$20K based on average national Medicare payment rate for a midsize – 4 physician – practice.

Meet Your Expert

Kim Huey
MJ, CHC, CPC, CCS-P, PCS, CPCOKGG Coding and Reimbursement Consulting, LLC

Kim is an independent coding and reimbursement consultant, providing audit, training and oversight of coding and reimbursement functions for physicians. Kim completed three years of pre-medical education at the University of Alabama before she decided that she preferred the business side of medicine.

She completed a Bachelor’s degree in Health Care Management and went on to obtain certification through the American Academy of Professional Coders and the American Health Information Management Association.

Recognizing the important position of compliance in today’s world, she has also obtained certification as a Certified Healthcare Compliance Consultant and a Certified Healthcare Audit Professional. Kim is also an AHIMA-approved ICD-10-CM trainer and has recently earned a Master of Jurisprudence in Health Law.

For over twenty-five years, Kim has worked with providers in virtually all specialties, from General Surgery to Obstetrics/Gynecology to Oncology to Internal Medicine and beyond. She has spoken at the national conference for numerous organizations.

Reviews

The webinar was very informative, stuck to the topic, and provided bundles of information on 99211 coding.
Leon Brunson
President and CEO, Family Health Centers, Inc