Office visits are considered evaluation and management codes (E/M) in the Current Procedural Terminology (CPT) manual and are a fundamental part of a rheumatologist’s day. There are two types of office visits: new patient and established patient.
Coding Corner – New Patient vs. Established Patient Quiz
New Patient vs. Established Patient Quiz 1. A 65-year-old female patient comes to see Dr. Raven at her new practice. The last time this patient saw Dr. Raven was eight weeks ago at her old practice. What type of patient visit is this? Established New 2. Dr. Smith joins a new practice and many of…
Coding Corner Answer – New Patient vs. Established Patient Quiz
Take the challenge… 1. A: Established. Even though Dr. Raven is now practicing at a new location, the patient is considered an established patient because she received professional services from Dr. Raven within the past three years. The CPT manual defines a new patient as “one who has not received any professional services from the…
Pointers for Rheumatologists Considering AMA Membership
Join the AMA. Don’t join because you agree with everything the AMA does. Join so we, as rheumatologists, will continue to have a voice and make a difference.
A Comparison of the Canadian and U.S. Healthcare Systems
The joys and the hazards of the Canadian single-payer universal healthcare program Canadian and the high-capacity and costly U.S. healthcare system.
Coding Corner: February’s Coding Challenge
A 62-year-old male patient returns to the office for a followup visit for his gout.
Coding Corner Answer: February’s Coding Challenge
A 62-year-old male patient returns to the office for a followup visit for his gout.
Time Is Important Factor in E/M Coding
It is not unusual for rheumatologists to spend significant time during an office visit reviewing new and/or existing problems, modifying medications, counseling, and coordinating care, but is this additional time reimbursable?
Practice Page: Using Denials Management to Maximize Reimbursements
Denials management is a growing issue in physician practices nationwide, and your practice could be losing tens of thousands of dollars yearly if you do not have a denials-management strategy in place.
Dos and Don’ts of Verifying Insurance Benefits
Not verifying insurance benefits prior to rendering service can result in nonpayment, which affects your bottom line. Because this is a costly mistake that can be avoided, make it routine to verify eligibility prior to every patient visit.
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