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CE Articles
Navigate facility E/M coding in the ED
Outpatient coders must be able to assign E/M codes for the providers’ work and resources utilized by the facility during emergency visits. This article takes a close look at facility E/M coding and payment for visit services rendered in Type A and Type B emergency departments (ED).

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Identify newly reimbursable outpatient services during the COVID-19 pandemic
CMS on April 30 released an interim final rule with regulatory relief for hospital outpatient departments. In this article, Kimberly A. Hoy, JD, CPC, reviews Medicare provisions that allow outpatient departments to bill services at alternate locations during the novel coronavirus (COVID-19) public health emergency.
Watch the clock, documentation rules if you plan on time-based E/M coding in 2021
Changes to office E/M guidelines, effective January 1, 2021, will give providers the option to code based on the total time they spend on a patient’s care per date of service. Prepare for these changes by reviewing rules for time-based E/M documentation and code selection.
Healthcare News: CMS details prior authorization process for certain HOPD services
CMS recently published details on prior authorization requirements, established by the 2020 OPPS final rule, for select hospital outpatient department (HOPD) services, scheduled to go into effect July 1.
Q&A: Using modifier -62 to report and charge for spinal co-surgery
Q: When would it be appropriate to apply modifier -62 (two surgeons) on claims for spinal procedures performed by co-surgeons, and what effect would this have on physician reimbursement?
 

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SelectCoder Tip of the Week

Huntington's disease is a progressive neurological disorder that includes mental deterioration and may include dementia as part of its progressive course. When dementia has been diagnosed as related to Huntington’s disease, the ICD-10-CM Alphabetic Index instructs coders to use an additional code from category F02.- (dementia in other diseases classified elsewhere) to identify dementia with or without behavioral disturbance.

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Platinum members can view the latest stories from Briefings on APCs and Briefings on Coding Compliance Strategies. 
 

Product Spotlight

2020 Modifier Update: Guidance for Effective Hospital Reporting

During this 90-minute webinar on June 30, Sarah L. Goodman, MBA, CHCAF, COC, CHRI, CCP, FCS, and Susan E. Garrison, CHCA, CHCAS, CCS-P, CHC, CPAR, CPC, COC, will review the proper application of commonly reported E/M, anatomic, and procedural service modifiers.

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Sarah Gould
Editor
JustCoding News: Outpatient
[email protected]


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