Level 5 Drug Therapy Requiring Intensive Monitoring for Toxicity August 7, 2023 We get a number of questions on this topic, and for good reason: It’s complicated! To simplify things a little, let’s start with some common examples of what does NOT qualify for intensive...
Download this free e-book on how to select the appropriate E/M code based on Medical Decision-Making. Selecting the appropriate level of evaluation and management (E/M) service is crucial to reimbursement and risk management for providers. With this free resource,...
Overcoming Your “Level 5” Fears June 19, 2023 I have found that there are two types of physicians: Those who shy away from using the 99205/99215 codes—”the dreaded Level 5”—for fear of triggering audits; and Those who use these codes as often as possible. WHICH...
Coding by Time June 12, 2023 The most common questions we receive from physicians and nurse practitioners involve the second major component in medical decision-making: documenting the total time for evaluation and management (E/M) services provided on the day of the...
Clarifying Diagnosis Definitions for Medical Decision-Making June 5, 2023 Having a clear understanding of diagnosis definitions is obviously important to medical decision-making, accurate documentation, and reimbursement. Unfortunately, the guidelines in the AMA...
Assessing Moderate-Level 4 Risk in Medical Decision-Making Monday, May 29, 2023 In the previous issue of Coffee & Coding, we reviewed Low Level 3 MDM. Now let’s review Moderate Level 4. Let’s start with the guidelines listed by AMA: Moderate 1 or more...
Medical Decision-Making: Are you savvy on what constitutes a Low Level 3 for RISK? Monday, May 22, 2023 With CMS’s ever-changing rules, it can be challenging for physicians and nurse practitioners to keep up with them all. Here’s a quick refresher on a...
Calm Waters AI, an autonomous Evaluation & Management (E/M) coding solution for providers, announced that it has finalized an agreement with OrthoCarolina, a large and nationally prominent orthopedic practice group. The Calm Waters AI software solution is designed...
To identify the suitable level of an E/M service, the documentation needs to meet or exceed two out of three components – Problem, Data, and Risk. The American Medical Association (AMA) has published a resource, Table 2 – CPT E/M Office Revisions Level of...
Selecting a Level of Service based on Medical Decision-Making (MDM) Part II Monday, May 8, 2023 To determine the appropriate level of an E/M service, it is required to have documentation that satisfies at least two of the three elements – Problem, Data, and...
