These updates will have implications for documenting E/M services and assigning codes, because Medicare and third-party payers may add their own guidelines for claim submission. Rheumatology practices will need to be knowledgeable about each payer’s guidelines and policies to ensure accurate E/M coding for error-free claim submission.
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A New Era of Coding Evaluation & Management Services
After 25 years, the American Medical Association (AMA) Current Procedural Terminology (CPT) office and outpatient evaluation and management (E/M) codes received a major overhaul. These changes, which went into effect Jan. 1, will help reduce administrative burden on providers and roll back some of the rigid requirements for E/M coding by simplifying the code selection…
Prepare NOW for ICD-10 Medical Coding Transition
The ICD-10 page on the Centers for Medicare & Medicaid Services (CMS) website features a countdown clock that shows the time left until Oct. 1, 2015, the date on which compliance with the new code set becomes mandatory. By the time this issue goes to press, the clock will read 90 or fewer days. Time…
Steps to Help Rheumatologists Achieve Office Compliance in Laboratory Coding
A guide to ensure proper coding, billing and accurately diagnose patients.
The Anatomy of Coding
It is essential for coders to understand the rules of engagement, especially when it comes to correct coding and using the most up-to-date coding tools. Those who interact with Current Procedural Terminology (CPT), the International Classification of Diseases (ICD), or insurance companies also have the experience of dealing with the countless coding rules and guidelines.