#physiciansky #medsky #blackmedsky
#physicianfiles
Common Insufficient Documentation Errors- Evaluation & Management:
HIGH ERRORS:
- Missing sigs.
- Insufficient documentation
- Medical necessity
- Incorrect coding of /EM services to support MEDICAL NECESSITY & accurate billing of those services
#physiciansky #medsky #blackmedsky #physicianfiles
Whew these #telehealth rules coming down the pike is going to create a frenzy!
We are doing the finishing touches on our newsletter that has a full breakdown as we know it. And let's not forget, anything can change from now to the affective date
#physiciansky #medsky #blackmedsky #medicalcodingsky #cimcprogram cimcprogram@gmail.com
#physicianfiles
CMS announced some changes in the standard monthly premiums for Beneficiaries:
2025 Medicare Parts A & B Premiums and Deductibles
www.cms.gov/newsroom/fac...
#physiciansky #medsky #blackmedsky #physicianfiles
Let's talk Amount and/or complexity of Data to be reviewed and analyzed. 🧵🧵👇🏾
This MDM (Medical Decision Making) element includes medical records, tests, and other information that must be obtained, reviewed ordered, and/or analyzed for the visit👇🏾
#physicianfiles #blackmedsky #medicalcodingsky #cimcprogram
Patient has been diagnosed with Autosomal dominant limb girdle muscular dystrophy.
Claim: G71.0
Denied- Invalid diagnosis
The appropriate code: G71.031
Tip:
Make sure your EHR is up to date w/ the most current codes
#physicianfiles #blackmedsky #medicalcodingsky #documentationtips
Invalid diagnosis code: The principal diagnosis field is blank, there are not diagnoses entered on the claim, or the entered diagnosis code is not valid for the selected version of the program (updated ICD-10-CM code)
Example: 👇🏾
Top 10 claim denial per CMS
#physicianfiles #blackmedsky #medicalcodingsky #documentationtips
Did you know the number 1 claim denial is due to invalid Diagnosis code? 🧵
When using the diagnosis code, be sure it supports the level of severity, laterality, and status of condition for specificity.
Definition:👇🏾
#physicianfiles #medsky #physiciansky #medicalcodingsky
Question to the providers: Would you like a monthly or quarterly medical coding, compliance and documentation tips newsletter? How much would you pay?
We have a monthly newsletter that we offer. If you and your practice are interested DM me.
Question from a physician:
What's the difference between SNF discharge codes 99315 and 99316?
Answer: Both CPTs are time based discharge codes. If you spent 30mins or less discharging a patient, use code 99315.
If you spent 31+ mins, use 99316. 99315 is the default code if 🧵
#physicianfiles
