tci Medicare Compliance & Reimbursement - 2011 Issue 7

Medicare Error Rates: Reporting 'Low-Level' 99211? You Still Need Complete Documentation, One MAC Reminds

Just because 99211 is known as a 'nurse visit' doesn't mean you can report it without the appropriate notes. When your practitioner performs a level-one established patient E/M service, you probably report 99211 without much thought, because the so-called "nurse's code" only pays about $19.00. However, you should put just as much effort into ensuring that you're reporting 99211 as accurately as your other codes. Not only is it compliant and correct coding to do so, but MACs are watching. WPS Medicare, a Part B payer in Illinois, Michigan, Minnesota, and Wisconsin, recently updated the results of its...

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