tci Medicare Compliance & Reimbursement - 2019 Issue Q4

E/M Coding: Conquer Prolonged Service Woes With 3 Tactics

Tip: Document time appropriately. From time to time, providers’ E/M face-to-face visits go into overdrive. But you don’t need to lose pay for the extra minutes spent. Instead, turn to prolonged service codes when patient care extends beyond the typical time described in E/M codes 99201-99215. Read on for three expert tips to make sure you’re using the codes correctly to garner all the pay your practice deserves. Tip 1: Know These Codes for Direct Patient Contact When a qualified provider performs prolonged services involving direct patient contact “that is provided beyond the usual service in...

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