Yuku free message boards
Username or E-mail:
Password:
Forgot
Password?
Sign Up
Grab the Yuku app
Search:
Medical Association of Billers
>
Psychiatry Coding and Billing
>
E&M Time Based Coding
0 Points
Search this Topic:
Remove this ad
Association News
Medical Billing & Coding Education from the MAB
Continuing Education
Management Advice and Training
Questions Asked More Than Once
Help Wanted - Billing and Coding
Non Billing Talk
The Venting Area (Clean posts please)
Medical Coding and Billing News
Fraud and Abuse
Health Insurance - Provider Contracting
ERISA
Tricare
Workers' Compensation
General Medical Billing Questions
Appeals
Accounts Receivables (A/R)
Refunds
Auto Accident Issues
Medisoft Technical Support
Medical Software Technical Support Questions Other than Medisoft. No Investigation Questions!
General Medical Coding Forum
CPT Coding Questions
HCPCS Coding Questions
ICD-9-CM Coding Questions
Evaluation & Management Coding Questions
Acupuncture Billing and Coding
Ambulance Coding and Billing
Cardiology Coding and Billing
Chiropractic Coding and Billing
Dental Billing and Coding
DME Coding and Billing
Emergency Department Coding and Billing
Family Practice Coding and Billing
Hospital Inpatient and Outpatient Coding
Hospital Billing, Appeals and Collections
Internal Medicine Coding and Billing
Laboratory Coding and Billing
Ophthalmology Coding and Billing
OB-GYN Coding and Billing
Pain Management Coding and Billing
Pediatric Coding and Billing
Podiatry Coding and Billing
Physical Therapy Coding and Billing
Psychiatry Coding and Billing
Radiology Coding and Billing
Surgery Coding and Billing
Neurology Coding and Billing
Urgent Care Coding and Billing
Provider Compliance
Billing Center Compliance
HIPAA
<< Previous Topic
Next Topic >>
Re: E&M Time Based Coding
Author
Comment
sporty981
#1
[-]
Posts
: 2314
Dec 20 12 6:01 AM
Moderator
Reply
Quote
More
My Recent Posts
Thank you for clearing that up.
You still have to meet the complexity in other words if you are just counseling someone on risk factor reduction, or the importance of med compliance you cannot use a very high level of E/M. So complexity is still part of the E/M. For something like med management you're most likely going to code a 99212/99213 in order to code to a 99214 if you're basing it on time you have to have face to face time of 23 minutes looking at an 8 minute rule so complexity still has to be a part of it and your documentation has to fit.
I'm trying to help you with complexity, just make sure if you are trying to code strictly by time the documentation needs to fit the complexity of what the patient is being counseled for. 99214 is going to something that can end up getting flagged if it's the only E/M code that you're billing for every patient, at this point by Medicare. It's a higher paying code and we have RAC audits targeting 99214-99215. Those apply to anyone billing that level of E/M on a regular basis.
With new changes and these are big changes for psychiatry there are going to be questions and issues.
Sharon who is our psych expert may have more to say on this topic as well.
I know that if you're going to choose it based solely on time and only address one issue for a 99214 that can be problematic.
Karen Habel, CDA, CMBSI, CDBSI
Nothing I say shall be construed as legal advice; always check with your own financial or legal advisors for your specific situation.
Last Edited By:
sporty981
Dec 20 12 6:07 AM. Edited 1 times.
<< Previous Topic
Next Topic >>
Association News
Medical Billing & Coding Education from the MAB
Continuing Education
Management Advice and Training
Questions Asked More Than Once
Help Wanted - Billing and Coding
Non Billing Talk
The Venting Area (Clean posts please)
Medical Coding and Billing News
Fraud and Abuse
Health Insurance - Provider Contracting
ERISA
Tricare
Workers' Compensation
General Medical Billing Questions
Appeals
Accounts Receivables (A/R)
Refunds
Auto Accident Issues
Medisoft Technical Support
Medical Software Technical Support Questions Other than Medisoft. No Investigation Questions!
General Medical Coding Forum
CPT Coding Questions
HCPCS Coding Questions
ICD-9-CM Coding Questions
Evaluation & Management Coding Questions
Acupuncture Billing and Coding
Ambulance Coding and Billing
Cardiology Coding and Billing
Chiropractic Coding and Billing
Dental Billing and Coding
DME Coding and Billing
Emergency Department Coding and Billing
Family Practice Coding and Billing
Hospital Inpatient and Outpatient Coding
Hospital Billing, Appeals and Collections
Internal Medicine Coding and Billing
Laboratory Coding and Billing
Ophthalmology Coding and Billing
OB-GYN Coding and Billing
Pain Management Coding and Billing
Pediatric Coding and Billing
Podiatry Coding and Billing
Physical Therapy Coding and Billing
Psychiatry Coding and Billing
Radiology Coding and Billing
Surgery Coding and Billing
Neurology Coding and Billing
Urgent Care Coding and Billing
Provider Compliance
Billing Center Compliance
HIPAA
Email to Friend
del.icio.us
Digg it
Facebook
Blogger
Yahoo MyWeb
Medical Association of Billers
>
Psychiatry Coding and Billing
>
E&M Time Based Coding
Click to subscribe by RSS
Click to receive E-mail notifications of replies