Celebrating National Doctor’s Day 2021

Celebrating National Doctor's Day 2021This year, we celebrate National Doctor’s Day by recognizing all the hard work and sacrifices during the COVID-19 pandemic of 2020 and 2021. Doctor’s hard work and selflessness have made the biggest differences in our communities as we overcome the hardships of the past year. From frontline work to research, doctors have been working hard to keep our communities safe and healthy.nnFor this National Doctor’s Day, keep in mind the ways doctors have impacted you and how much doctors mean to our society. While we are thankful for all doctors, we would like to send a special “THANK YOU” to our clients as we celebrate YOU on this special day!

AMA Released 2021 Updates for E&M

AMA Released 2021 Updates for E&MThe AMA has released new updates for the 2021 Evaluation and Management guidelines. Stay up to date with the newest guidelines and AMA definition clarifications. Welter Healthcare Partners will also be hosting a webinar to review these changes with a link and sign-up available. Read more below to learn more. nnMarch 9,2021 – American Medical Association (AMA) released an update to the 2021 Evaluation and Management (E&M) guidelines with clarification of definitions within the previously released guidelines. These updates, although vast, appear to really focus in on the Data elements of our Medical Decision Making (MDM).nnThe updated guidelines list the following revisions.n

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  • Clarifying when reporting a test that is considered, but not selected after shared decision making.
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  • Providing a definition of “Analyzed” for reporting tests in the data column.
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  • Clarifying the definition of a “unique” test.
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  • Clarifying what is meant by “discussion” between physicians, and other qualified health care professionals and patients.
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  • Providing a definition of major vs minor surgery.
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n Welter Healthcare Partners will be hosting one more webinar to review these changes and provide examples of when these changes will be relevant to your practice.

Burnout and How it Has Affected Us

Burnout and How it Has Affected UsBurnout has been the reality for millions of people this past year. Whether it is a change in lifestyle or working too much, it can change the way we approach and do things in our everyday lives. What is burnout exactly and how can we approach these emotions going forward? Read below to learn more.nnHow are you doing? This simple question gets asked a lot these days, and for some of us our standard answer is “ok”. We are asked this at work, by friends, by family, and even strangers in limited interactions while at the grocery store. But what does it really mean? Does the person asking us really care? When it comes to our work life, are we truly aware of how we are doing? Burnout is nothing new.nnWorld Health Organization (WHO) defines burnout as an occupational phenomenon.nIt is included in ICD-10 and identified by code Z73.0. With the release of ICD-11, Burnout received a more detailed definition.nnAccording to the WHO’s website, Burnout is characterized by three dimensions:n1) feelings of energy depletion or exhaustion.n2) increased mental distance from one’s job, or feelings of negativism or cynicism related to one’s job.n3) reduced professional efficacy.nnPersonally, this is not something I ever thought about. Until I listened to a recent episode of NPR’s Life Kit, host Rhitu Chatterjee spoke with professionals regarding burnout and how it affected them personally and psychiatrist on ways to cope with this in your own lives.

Webinar Training – 2021 E/M TECHNICAL CORRECTIONS Just Released!

Webinar Training – 2021 E/M TECHNICAL CORRECTIONS Just Released!The webinar training has been announced for the 2021 E/M technical corrections! Join Welter Healthcare Partners in a webinar training event to go over the newest changes in E/M guidelines and stay up to date on the newest coding changes. Check below for times and dates for the upcoming webinar training and register your practice/organization! nnBy Ginger Avery, CPC, CPMA, CRC nMarch 17, 2021nnSince the release of the January 1, 2021 updated E/M guidelines for office or other outpatient (CPT codes 99202-99215) and prolonged services (CPT codes 99354, 99355, 99356, 99417), the AMA has received an abundance of feedback from clinicians on areas of confusion. The AMA’s CPT Editorial Panel has made several technical corrections to add clarity to these exciting updates. These technical corrections were released March 9th and are effective January 1, 2021.nnThe summary of updates listed below reveals that most of the new information is concentrated on medical decision making (MDM) definitions:nn

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  1. Total Encounter Time Reporting: Clarification has been made when to NOT count time. 
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  3. Five new MDM definitions added:n
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    1. Analyzed – referred to in the data element of Table 2 of the guidelines
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    3. Combination of data elements
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    5. Discussion
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    7. Unique Test and Unique Source
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    9. Surgery: minor vs. major
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  5. Revised Definitions have been created to clarify the following terms:n
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    1. Drug therapy requiring intensive monitoring for toxicity
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    3. Independent Historian
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    5. Risk
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    7. Test
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  7. Clarification provided for separately reported tests and interpretation. 
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nMake sure your organization is up-to-date with these recent revisions and has a solid understanding of the new 2021 E/M Guidelines for office visit services. These monumental changes cannot go unnoticed! Register below for a one-hour webinar presented by Welter Healthcare Partners on these crucial updates. If you have any submission issues with the contact form, please email Cody at cwhitworth@rtwelter.com to register. nnAll webinar registrants will receive 5 of Welter Healthcare Partners’s 2021 Office Visit E/M Coding Tools!nn[dt_divider style=”thin” /]nn[gravityform id=”18″ title=”false” description=”false”]nnThese unpredictable updates to our ever-changing healthcare environment should serve as a reminder to visit AMA’s Errata & Technical Corrections regularly for any noted changes.  nn 

Several Technical Corrections Reshape the Recently Released 2021 E/M Guidelines

Several Technical Corrections Reshape the Recently Released 2021 E/M GuidelinesSeveral technical corrections have been made in the recently released 2021 E/M guidelines. With feedback from clinicians to clarify these new guidelines, new summary updates have been presented to clear up any confusion. Stay updated with the clarified E/M guidelines today. Continue reading below to learn more.nnBy Ginger Avery, CPC, CPMA, CRCnMarch 17, 2021nnSince the release of the January 1, 2021, updated E/M guidelines for office or other outpatient (CPT codes 99202-99215) and prolonged services (CPT codes 99354, 99355, 99356, 99417), the AMA has received an abundance of feedback from clinicians on areas of confusion. The AMA’s CPT Editorial Panel has made several technical corrections to add clarity to these exciting updates. These technical corrections were released March 9th and are effective January 1, 2021.nnThe summary of updates listed below reveals that most of the new information is concentrated on medical decision making (MDM) definitions:n

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  1. Total Encounter Time Reporting: Clarification has been made when to NOT count time. 
  2. n

  3. Five new MDM definitions added:n
      n

    1. Analyzed – referred to in the data element of Table 2 of the guidelines
    2. n

    3. Combination of data elements
    4. n

    5. Discussion
    6. n

    7. Unique Test and Unique Source
    8. n

    9. Surgery: minor vs. major
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    n

  4. n

  5. Revised Definitions have been created to clarify the following terms:n
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    1. Drug therapy requiring intensive monitoring for toxicity
    2. n

    3. Independent Historian
    4. n

    5. Risk
    6. n

    7. Test
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    n

  6. n

  7. Clarification provided for separately reported tests and interpretation. 
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nMake sure your organization is up-to-date with these recent revisions and has a solid understanding of the new 2021 E/M Guidelines for office visit services. These monumental changes cannot go unnoticed! Register below for a one-hour webinar presented by Welter Healthcare Partners on these crucial updates. If you have any submission issues with the contact form, please email Cody at cwhitworth@rtwelter.com to register. nnAll webinar registrants will receive 5 of Welter Healthcare Partners’s 2021 Office Visit E/M Coding Tools!nn[dt_divider style=”thin” /]nn[gravityform id=”18″ title=”false” description=”false”]nnThese unpredictable updates to our ever-changing healthcare environment should serve as a reminder to visit AMA’s Errata & Technical Corrections regularly for any noted changes.  nn 

Bartholin’s Gland Cysts Treatment

Bartholin’s Gland Cysts treatment can come in many different forms. With treatment comes coding for the different classifications and procedures to take care of the cysts. Staying up-to-date with coding can help you organize and get ready for treatment. Continue reading below to learn more!nnBartholin’s glands are two fluid-filled swellings that lubricate the vagina prior to and during sexual intimacy. Due to their size, they can easily become blocked or obstructed by bacteria and cause a cyst or abscess Most Bartholin’s cyst are asymptomatic and resolve on their own. If ancyst does not resolve on its own, it can grow larger, swollen, and painful. nnTreatment options:nnSitz baths and time are usually the first line of treatment. In most instances, the cyst will rupture on it’s own.  However, if conservative treatment does not work, an incision and drainage may be done with a word catheter inserted into the cyst space.  This word catheter is left in place from four to six weeks to help with healing.  Another treatment is surgical marsupialization. The physician will grasp the cyst and create a vertical incision between 1.5 and 3.0 cm long.  This will drain the gland cavity. After that the cyst will be open and the physician will suture the edges of the sit to form a continuous surface from the exterior surface to the interior surface of the cyst. Clinicians also use lasers and injections to treat these cysts. It is also possible to surgically excise the gland or cyst from the vaginal area.  Excision of the cyst is the most invasive treatment option. nnCPT CODING: n

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  • 56420:  I&D of Bartholin’s gland abscess
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  • 56440: Marsupialization of Bartholin’s gland cyst
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  • 56740: Excision of Bartholin’s gland cyst.
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nCPT code 56420 is used to report an I&D for a gland that is abscessed. If there was no abscess present, (the cyst was filled with clear fluid), and an I&D was performed, the coder should report one of the following:n

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  • 10040: Acne surgery (ie: marsupialization, opening or removal of multiple milia, comedones, cysts, pustules)
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  • 10060: I&D of abscess (ie: carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia), simple or single
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  • 10061: … complicated or multiple
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nCode 56740 is used to report a complete excision.  If the clinician uses a C02 laser or performs a destruction, then report CPT code 56501 (destruction of lesion(s), vulva, simple) or 56515 (…extensive)nnICD 10 CM Coding:n

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  • N75.0: cyst of Bartholin’s gland
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  • N75.1: abscess of Bartholin’s gland
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  • N75.8: Other diseases of Bartholin’s gland
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  • N75.9: disease of Bartholin’s gland, unspecified.
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nBe sure to code either a cyst or an abscess. If the clinician notes the presence of bacteria within the abscess, a laboratory code for the specific bacteria can be coded secondary to the abscess code. nn**  AMA CPT 2021nn**  AMA ICD-10-CM 2021nn**  AMA Obstetrics and Gynecology