tci Medicare Compliance & Reimbursement - 2017 Issue 13

E/M Coding: Learn the Trick to Separating 99211 From Non-Billable Visits

Hint: In rare cases, 99211 can be used for a Rx pickup. Medicare providers likely report 99211 every time a practice nurse or medical assistant sees a patient. And yet despite the code’s prominence, you may be unaware of the subtle nuances necessary to bill it correctly. Check out the following quick tips to ensure that you’re reporting 99211 (Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified healthcare professional. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are...

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