E/M

Fractures, Dislocations, Casts, and Splints

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

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

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

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

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

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

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

What are the Proper Ways to Use the 25 Modifier?

“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?”