Ask an Expert: Does Blood Pressure Check Qualify for CPT Code 99211?

QUESTION: Can you bill CPT code 99211 for a blood pressure check by the nurse? The patient did not see the doctor.  Anonymous, Salt Lake City, UT ANSWER: You may bill CPT code 99211 for a blood pressure evaluation for an established patient whose physician requested a follow-up visit to check blood pressure. CPT code […]
CPT Code 59400

Global Billing Growing: Capture Charges Beyond CPT Code 59400 for Bundled Care

Insurance trends are shifting from fee-for-service models to global billing structures including in the area of maternity care pricing: a flat rate fee for (almost) all services rendered to cover the entire pregnancy billed with one code such as CPT code 59400. Correctly including what is part of a global billing model – and what […]
burnout ICD-10-CM code Z73.0

Perk Up Your Office With Tips to Bust Burnout: ICD-10-CM Code Z73.0

If you’re feeling especially snippy to your staff or can barely summon the energy to get through your work day, you could be struggling from burn out. This syndrome is increasing so quickly in our modern times that it now has its own diagnosis for burnout: ICD-10-CM code Z73.0. ICD-11 includes a section for burnout […]
icd-10-cm-code-changes

ICD-10-CM Code Changes Broken Down by Specialty

Knowing what ICD-10-CM code changes you need to focus on updating this Fall can be like finding a needle a haystack. ICD-10-CM code changes for 2020 include 324 code changes (273 new, 21 deleted, and 30 revised codes) – and you need to hone in on the ones you need to educate staff on, watch out […]
coding remote patient monitoring smart watch reading

Maximize Billable Opportunities for Coding Remote Patient Monitoring

CMS won’t release the 2020 Medicare Physician Fee Schedule final rule until later this fall, but that doesn’t mean you should wait to shore up your reimbursement for coding remote patient monitoring based on the proposed rule. Released in July, the proposed rule contains important clues about what you can expect next year. And even […]
Medical coding and billing

What Type of Education Is Needed for Medical Billing and Coding?

Pursuing a career in medical billing and coding can be one of the most rewarding experiences in your life. This is a serious and complex field that is becoming more and more competitive. You don’t have to be a doctor or a nurse to help thousands of patients, because you can contribute quite a lot […]
Medicare telemedicine policy

Updated 2019 Medicare Telemedicine Policy

Several months ago, the Centers for Medicare & Medicaid Services (CMS) released an updated Medicare telemedicine policy for Medicare, which went into effect on Jan. 1, 2019. The new changes in the CMS’ finalized Calendar Year 2019 Physician Fee Schedule for Medicare telemedicine policy are brought with the goal of streamlining the healthcare system, and […]
Documentation Checklist Bulletproof Your Claims

Documentation Checklist Can Bulletproof Your Claims

Provider documentation is your only defense if you’re faced with an audit. It must be rock-solid to support the claims you submit to payers. But how can you ensure this happens when each clinician has his or her own style and perspective when documenting a patient encounter? The answer is good basic, defensible documentation. Here […]
Time-Based Coding

Tackle Time-Based Coding to Ethically Boost Your Reimbursement

If your practice isn’t using time-based codes correctly, you are leaving money on the table. Or worse, opening yourself up for massive fines per misuse. The truth is, most coders and their physicians steer clear of these codes out of fear of the consequences of getting it wrong.  But, there’s no need to avoid these […]
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