Skip to main content
  • Helping you with HIPAA Security Solutions.
  • Call Us (631) 403-6687
  • Office HrsMon - Fri: 9.00am to 5:00pm

E/M

Can a Podiatrist bill a Level 5 E/M visit?
Coding

Can a Podiatrist bill a Level 5 E/M visit?

by Michael Warshaw, DPM, CPC

Can a podiatrist bill a Level 5 E/M visit?
Read More
Coding

E and M service based upon Total Time

by Michael Warshaw, DPM, CPC

What are the rules that should be followed when someone is billing for an E and M service based upon Total Time?
Read More
Coding

Top Compliance Issues Q&A

by Michael Warshaw, DPM, CPC

Top Compliance Issues Webinar Q&A with Michael Warshaw, DPM, CPC
Read More
Coding

"Homebound" for Housecalls?

by Michael Warshaw, DPM, CPC

Does a patient have to be “Homebound” in order to provide foot care services in the patient’s home?
Read More
Coding

Appropriate E/M Code to Bill Based Upon Time

by Michael Warshaw, DPM, CPC

Help! Can you please explain what is needed to determine the most appropriate E/M code to bill in the office based upon time?
Read More
Coding

Select the level of E/M service based upon Medical Decision Making (MDM)

by Michael Warshaw, DPM, CPC

What are the guidelines for selecting the level of E/M service based upon Medical Decision Making (MDM)?
Read More
Coding

Guidelines for Billing E/M Service Based Upon Total Time

by Michael Warshaw, DPM, CPC

What are the guidelines/rules for billing an E/M service based upon total time?
Read More
Coding

What are the Proper Ways to Use the 25 Modifier?

by Michael Warshaw, DPM, CPC

What are the Proper Ways to Use the 25 Modifier?
Read More
Coding

Cigna and Modifier 25

by Dr. Michael Warshaw, DPM, CPC

“I just received a letter from Cigna insurance. As of August 13, 2022, they will require the submission of office notes with claims submitted with Evaluation and Management/E and M codes (ie. 99212, CPT 99213, CPT 99214) appended by modifier -25 when a minor procedure is also billed the same day by the same physician. The E/M will be denied if documentation is not received. The claim can be sent electronically with attachment indicator and notes should be faxed. Is this happening with other insurance companies? The amount of paperwork for a small office is crazy and along with continued decreasing reimbursements, higher prices for supplies, shortages, etc. The insurance companies are making greater profits than ever. The insurance premiums have increased and out-of-pocket patient billing has become more significant. The system is not right. What can we do? How do we fight back? Please don’t say take cash rather than insurance, it’s not practical in many circumstances. Any thoughts?”
Read More
Coding

E/M Revisited

by Dr. Michael Warshaw, DPM, CPC

“For Medicare, it has been well established that debridement for callouses is not covered when class findings are not present. But what about that patient that complains of pain from a callus. If you evaluate the painful callus and manage the painful callus, would it not be appropriate to bill a low level E/M code? This patient does not want surgery but this is a recurring problem. Can the E/M be billed each time the patient is seen?”
Read More