E&M

E&M Amount and/or Complexity of Data to be Reviewed and Analyzed

If a patient comes in and a urinalysis (UA) is ordered and performed, can it be counted as data reviewed and/or analysis? If the practice is billing for the UA, then you should NOT count it in the data reviewed and/or analysis. The 2021 CPT® book (E&M Services Guidelines Page 8) states “The actual performance [...]

admin2021-02-26T17:49:34+00:00Healthcare Compliance Blog|

Clarity on CPT Code 99211 for Specimen Collection

The Interim Final Rule (IFR) released 4/30/2020 recognized the need for reimbursement for COVID -19 assessment and specimen collection. Pre-public health emergency (PHE), specimen collection was usually considered part of the office or outpatient evaluation and management (E&M) service. The Centers for Medicare and Medicaid Services (CMS) realized early on during the PHE, that testing [...]

admin2020-05-27T14:12:11+00:00Healthcare Compliance Blog|