Tag: Medical Billing Rules

You need to know about 99211 CPT code: Guide

Navigating the intricate landscape of medical billing and coding demands a firm grasp of Current Procedural Terminology (CPT) codes. One of the most commonly used yet frequently misunderstood codes is CPT 99211. This low-level evaluation and management (E/M) code is employed for services rendered by healthcare providers, typically in outpatient settings. While it might appear […]
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CMS Rules for Coding Emergency Department Claims | Best Practices

CMS Rules for Coding Emergency Department Claims | Best Practices

The Centers for Medicare and Medicaid Services (CMS) has consistently authorized hospitals to establish and utilize their own coding guidelines for emergency department facility claims. CMS makes clear that “[a]s long as the services furnished are documented and medically necessary and the facility is following its own system, which reasonably relates the intensity of hospital […]
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