E/M Coding Newsletter
Coffee & Coding
The Problem with Independent Historians
April 8, 2024 In most cases, we know who independent historians are: mothers, fathers, guardians, grandparents, or adult children. But we still see...
Making Complexity of Problems a Little Less Complex
April 1, 2024 We see a lot of questions (and confusion) over what constitutes an “acute illness with systemic symptoms.” In fact, according to the...
Making the Right Choice Between Level 3 and Level 4: Part Two
March 25, 2024 In last week’s Coffee & Coding, we provided a refresher on key points to remember about coding appropriately for Level 3. This...
Level 3 or Level 4: Getting It Right
March 18, 2024 Guidelines notwithstanding, deciding whether to apply Level 3 or Level 4 to a patient encounter isn’t always easy. In fact, we see a...
Ending Confusion Over Modifier 25
March 11, 2024 It’s a big week here in Boston (my hometown). Sunday, of course, is St. Patrick’s Day. Here in Boston, we also remember March 17 as...
MDM Level 5: A Quick Refresher on a Complex Subject
March 4, 2024 We continue to see that, across all medical specialties, physicians are still nervous about billing for Level 5 office visits. I...
HIPAA Compliance: Make sure you know ALL the rules
February 26, 2024 The Health Insurance Portability and Accountability Act (HIPAA) of 1996 is a federal law restricting access to individuals'...
Making sense of the new coding-by-time rules for 2024
February 19, 2024 We all know that the new year brings changes (some years, more than others). As it turns out, no sooner had we gotten clinicians...
How do you code a broken heart? Plus: We answer your questions about toxicity monitoring.
February 12, 2024 First things first: While remembering to apply the proper codes and include sufficient documentation, providers and coders must...
Documentation Tips and Tricks: How to Avoid Common Mistakes
February 5, 2024 Every day we see coding mistakes that affect the accuracy of E/M coding levels. Some of them can be costly. So, in this issue of...