Annual Preventive Visit w/ Illness Not Supported
Comprehensive, age-appropriate HPI & Exam support 99396 for preventive reevaluation & management of 1 established chronic problem. OMM of 1 body area is performed supporting code 98925. Questionable use of dx code Z12.4. Consider Z01.419 or Z00.00. Unsupported 99213, documentation does not support a separately identifiable E/M illness code. Possible use of code Q0091 for Pap collection per correct coding regardless of reimbursement. Below is an example of a procedure and notes regarding coding and why our clinician must be queried in order for the claim to be submitted. Do you have a complicated surgery case that needs help with coding? Welter Healthcare Partners would love to help! Please upload the operative note by clicking on the link below. Remember to remove ALL patient protected health information and organization identifiers. Welter Healthcare Partners will not use any medical records submitted in which PHI is not removed and protected. – Click Here to Submit Redacted Surgery Case Study –
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nnMany updates regarding a variety of different healthcare topics have been made by the Center for Disease Control in an attempt to acknowledge missing links within the previous ICD-10-CM codes. These code changes were implemented to help specify past uncertainties regarding a range of conditions. Read below to learn more about each new code that the update consisted of.nnThe Centers for Disease Control (CDC) posted the fiscal year (FY) 2021 ICD-10-CM final code changes last week. There were no changes to the proposed list of 490 new, 47 revised, and 58 invalidated codes that were released in the proposed FY 2021 Inpatient Prospective Payment System rule.nnThe final update includes hundreds of new ICD-10-CM codes including (but not limited to):n
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How do we determine if a medical patient is new or established? The decision is ultimately made based on the professional service they were given during their visit. Read more to learn how to recognize the differences between a new patient and an established patient when COVID-19 testing.nnIn the June 29, 2020 edition of Part B News, A really great question was submitted. To summarize, there is a clinic that has been doing COVID-19 testing. A person comes in, fills out a few forms, and then receives the test. When results are ready the patient will come back to the clinic and especially if the patient’s results are positive will see a doctor. Would this patient be considered a new or established patient for the visit with the doctor?nnThis is a great question that is really important with more and more tests being conducted in all 50 states. In order to answer this question, we need to evaluate the testing. Was this patient seen by a doctor who evaluated them for the need for a test? If this is that case then this patient received professional service with a physician or other qualified health care professional (QHP) and is now an established patient.nnOr is the testing completed by a laboratory tech, nurse, or medical assistant (MA), and the patient never sees a physician of QHP? If so and there was no “professional service” then when the patient comes back for their results and is seen by a doctor then this would be considered their first professional service and therefore would be a new patient. It all comes down to a matter of the “professional service” and if the patient has had a face-to-face encounter with a physician of QHP in the past.