tci Medicare Compliance & Reimbursement - 2013 Issue 21

Reimbursement: This Mistake Could Cost Your Practice $10,000 A Year

Watch out for these hard-to-detect nuances when billing new patient visits. Make sure you’re aware of the differences between coding for a new patient and an established one or your practice’s bottom line could take a serious hit. Don’t make the same mistake that this practice did when reporting E/M services, outlined in the example provided below. Code reported: 99201 Chief complaint: Left shoulder pain. HPI: This 66-year-old female patient complains of left aching, sharp shoulder pain that has been of moderate severity for the past four weeks. It is most severe in the evenings before...

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