tci Medicare Compliance & Reimbursement - 2010 Issue 5

PART B CODING COACH: 3 Criteria Nail Down Your Payment When Reporting 99211

Don't leave $19 per visit on the table -- follow these rules to ensure you collect what's due to you. If your physician waives charging for patient visits with a nurse, your doctor could be costing your practice deserved reimbursement. All you have to do is follow these simple criteria for reporting 99211: 􀁺 The person providing the care has the necessary training to perform an E/M service. 􀁺 The documentation shows medical necessity. 􀁺 The patient is established to your practice. Heads up: Our coding experts recommend that you report 99211 (Office or other outpatient visit for the...

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