E&M Coding in 2021

Now is the time to take a few minutes to assess your coding.

 

  •  If you are coding close to your specialty’s bell curve and if your documentation supports your coding, take a deep breath. If you find you are an outlier, don’t panic. Time is on your side.

  • Under-coders of the world, look to increase your coding. Your documentation likely supports a higher code. Over-coders, make sure your documentation supports your higher coding.

  • You are at higher risk for an audit, and your best defense will be solid documentation

Are you curious to see how you are doing?  Follow this link to “Physicians Practice” article:

E&M Coding in 2021: Four Questions, Four Answers

 

Physicians Practice

COVID-19 news from UnitedHealthcare, April 20th, 2021

[embeddoc url=”https://community.poetllc.org/wp-content/uploads/2021/04/COVID-19-news-from-UnitedHealthcare-2021.04.20.docx” download=”all” viewer=”microsoft”]

News from UHC

UnitedHealthcare remains committed to delivering timely news and updates to help you stay informed of fast-changing COVID-19 circumstances. Here’s a quick overview of the recent extension of the national public health emergency period, as well as billing updates and resources to help you answer patient questions about COVID-19 vaccines. For the complete article follow this link to the InK Files. 

6 Keys to Addressing Denials

6 keys to addressing denials in your medical practice’s revenue cycle

MGMA STAT – MARCH 18, 2021

The Medical Group Management Association’s most recent MGMA Stat poll asked healthcare leaders, “Has your organization seen denials increase in 2021?”

  • 69% said “yes.”
  • 31% said “no.”

Common responses from respondents included payers not reimbursing for codes related to COVID-19 supplies, critical care claims and imaging CTs.

For those healthcare leaders who reported an increase in denials, the average increase in denials was 17%.

  • Half responded that they increased by 1% to 10%.
  • 34% said 11% to 20%.
  • 12% who stated 21% to 30%.

The poll was conducted March 16, 2021, with 576 applicable responses.

For great tips and strategies to use, follow this link or visit “The Business End” folder located in the InK files. 

Denial Strategies from MGMA

6 Keys to Addressing Denials in Your Medical Practice’s Revenue Cycle, MGMA STAT – March 18, 2021

[embeddoc url=”https://community.poetllc.org/wp-content/uploads/2021/03/6-Keys-to-Addressing-Denials-in-Your-Medical-Practice-2021.03.18.docx” download=”all” viewer=”microsoft”]

CoVid-19 Recovery Center:

Vaccine Billing and Coding Reference, MGMA 2021

For a listing of Vaccine names and their CPT Code, please follow this link to files on InK. 

MGMA CoVid-19 Vaccine Reference

Reimbursement Policy Update Bulletin: UHC March 2021

UHC releases revised reimbursement policies for: Outpatient Hospital, Laboratory Services and Emergency Department E/M.

Follow this link to view the full policy revisions.

UHC Reimbursement Policy

Vaccine Billing and Coding Reference, MGMA 2021

[embeddoc url=”https://community.poetllc.org/wp-content/uploads/2021/03/COVID-19-Vaccine-Billing-and-Coding-MGMA-2021.pdf” download=”all” viewer=”google”]

Reimbursement Policy Update Bulletin: UHC March 2021

[embeddoc url=”https://community.poetllc.org/wp-content/uploads/2021/03/Reimbursement-Policy-Update-Bulletin-2021.03.pdf” download=”all” viewer=”google”]

Select CoVid-19 Temporary Cost Share Wavers are Extended. UHC Feb. 26, 2021

To continue to meet your needs through the evolving COVID-19 health emergency, UnitedHealthcare is extending select COVID-19 treatment cost share waivers, which are summarized below. We also continue to make ongoing updates to our COVID-19 billing and reimbursement guidance with the latest information, including giving providers a way to look up member Medicare ID numbers when submitting COVID-19 vaccine administration claims to the Centers for Medicare & Medicaid Services (CMS) Medicare Administrative Contractor (MAC).

To view the full article, follow this link.

Cost Share Wavers Extended