Tag: evaluation and management (E/M) services

Auditing facility services using a three-pronged approach

Auditing Facility Services: Changes to evaluation and management (E/M) services in 2021 and 2023 have excited and confused auditors. I am glad that the seemingly trivial criteria required for the level of service (history, testing) are an advantage to confusion when implementing new medical decisions (MDM)  in a balanced environment. In early 2021, AAPC Services […]
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Differentiating HCPCS Levels I and II Code Sets

Deciding which code to use starts with determining each payer’s policy. The Healthcare Common Procedure Coding System (HCPCS) has two principal subsystems, referred to as Level I and Level II. Knowing when to use HCPCS Level I codes versus HCPCS Level II codes can be confusing, mainly because many services are described by both code […]
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New Behavior Assessment Codes for Telehealth

There’s a slew of new health behavior assessment codes for 2020 and, good news, they’re on Medicare’s list of services you can provide via telehealth during the public health emergency (PHE) for COVID-19. Check out this rundown of the new codes and who should be using them. Assessment Codes Include Individual, Group The health and […]
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