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99213

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11 Tips for More Productive Billing -- FPM

Mar 1, 2002 - The author, a practice administrator, offers 10 tips for improving the efficiency of billing and collection processes.

Family Practice Management : Articles

https://www.aafp.org/fpm/2002/0300/p16.html

12 Errors to Avoid in Coding Skin Procedures

Skin procedure coding

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/network/12%20Errors%20to%20Avoid%20in%20Coding%20Skin%20Procedures.pdf

1995-2006 Index of Board Minutes

...B2004, August 4-7, p. 25. Approval of a recommendation that, for evaluation and management (E/M) codes 99213-99215 and 99232-99233, the Academy reaffirm its commitment to the 25 th percentile of work relative value units (RVUs) resulting from the survey of medical specialty...

About AAFP

https://www.aafp.org/content/dam/AAFP/documents/about_us/congress/restricted/1995-2006BoardIndex.pdf

1995-2006 Index of Board Minutes

...B2004, August 4-7, p. 25. Approval of a recommendation that, for evaluation and management (E/M) codes 99213-99215 and 99232-99233, the Academy reaffirm its commitment to the 25 th percentile of work relative value units (RVUs) resulting from the survey of medical specialty...

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/congress/restricted/1995-2006BoardIndex.pdf

1997-2008 Index of Board Minutes

...B2004, August 4-7, p. 25. Approval of a recommendation that, for evaluation and management (E/M) codes 99213-99215 and 99232-99233, the Academy reaffirm its commitment to the 25 th percentile of work relative value units (RVUs) resulting from the survey of medical specialty...

About AAFP

https://www.aafp.org/content/dam/AAFP/documents/about_us/congress/restricted/1997-2008BoardIndex.pdf

1997-2008 Index of Board Minutes

...B2004, August 4-7, p. 25. Approval of a recommendation that, for evaluation and management (E/M) codes 99213-99215 and 99232-99233, the Academy reaffirm its commitment to the 25 th percentile of work relative value units (RVUs) resulting from the survey of medical specialty...

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/congress/restricted/1997-2008BoardIndex.pdf

2000-2010 Index of Board Minutes

...B2004, August 4-7, p. 25. Approval of a recommendation that, for evaluation and management (E/M) codes 99213-99215 and 99232-99233, the Academy reaffirm its commitment to the 25 th percentile of work relative value units (RVUs) resulting from the survey of medical specialty...

About AAFP

https://www.aafp.org/content/dam/AAFP/documents/about_us/congress/restricted/2000-2010BoardIndex.pdf

2000-2010 Index of Board Minutes

...B2004, August 4-7, p. 25. Approval of a recommendation that, for evaluation and management (E/M) codes 99213-99215 and 99232-99233, the Academy reaffirm its commitment to the 25 th percentile of work relative value units (RVUs) resulting from the survey of medical specialty...

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/congress/restricted/2000-2010BoardIndex.pdf

2005 FPM Issues -- FPM

Jun 13, 2013 - Access the 2005 issues of FPM.

Family Practice Management : FPM Home

https://www.aafp.org/journals/fpm/explore/past/2005.html

2007 First Session

...with the whole RUC on the values of the Evaluation and Management Codes (EandM codes) that are most used by family doctors (i.e., 99213,99214, etc.) which were up for a five year review. The relative work value of each code affects the payment made by Medicare for that code. (9) The...

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/congress/restricted/2007/COD1stSession.pdf

2007 First Session

...with the whole RUC on the values of the Evaluation and Management Codes (EandM codes) that are most used by family doctors (i.e., 99213,99214, etc.) which were up for a five year review. The relative work value of each code affects the payment made by Medicare for that code. (9) The...

About AAFP

https://www.aafp.org/content/dam/AAFP/documents/about_us/congress/restricted/2007/COD1stSession.pdf

2010 Medicare Physician Fee Schedule

Summary of Key Provisions of the Proposed Rule on the 2010 Medicare Physician Fee Schedule

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/ES-2010ProposedRuleMedicare-070809.pdf

2010 Transactions,2010 COD Transactions.doc

...payments. For example, a 99213 has increased 41 percent over five years - and 34 percent for a 99214. Is this enough? Absolutely not. Is it the right direction? Yes. Will we keep working for more? Absolutely! AAFP will continue to be fighting for better payment for family...

About AAFP

https://www.aafp.org/content/dam/AAFP/documents/about_us/congress/restricted/2010/2010CODTransactions.pdf

2010 Transactions,2010 COD Transactions.doc

...payments. For example, a 99213 has increased 41 percent over five years - and 34 percent for a 99214. Is this enough? Absolutely not. Is it the right direction? Yes. Will we keep working for more? Absolutely! AAFP will continue to be fighting for better payment for family...

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/congress/restricted/2010/2010CODTransactions.pdf

2011 Physician Fee Schedule

Letter to CMS regarding Final 2011 Physician Fee Schedule

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-FinalSchedule-122210.pdf

2013 Medicare Physician Fee Schedule

Letter to CMS on the Proposed 2013 Medicare Physician Fee Schedule

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-FeeSchedule-082212.pdf

2015-2018 Family Medicine Leads Emerging Leader Institute Projects

AAFP Foundation

https://www.aafp.org/dam/foundation/documents/what-were-doing/awards-grants/FMLELI/2015-18ELIProjects+Descrip.pdf

2018 FPM Issues -- FPM

Jan 3, 2018 - 2018 issues of FPM journal

Family Practice Management : FPM Home

https://www.aafp.org/journals/fpm/explore/past/2018.html

2018-mips-playbook.pdf

...O24.83 AND Patient encounter during performance period (CPT or HCPCS): 97802, 97803, 97804, 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99217, 99218, 99219, 99220, 99221, 99222, 99223, 99231, 99232, 99233, 99238, 99239, 99281, 99282, 99283, 99284, 99285,...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/restricted/2018-mips-playbook.pdf

2018-mips-playbook.pdf

...O24.83 AND Patient encounter during performance period (CPT or HCPCS): 97802, 97803, 97804, 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99217, 99218, 99219, 99220, 99221, 99222, 99223, 99231, 99232, 99233, 99238, 99239, 99281, 99282, 99283, 99284, 99285,...

Practice Management

https://www.aafp.org/content/dam/AAFP/documents/practice_management/restricted/2018-mips-playbook.pdf

2019_AFP-FPM-AFM-Journal-Policies.pdf

...Coding Tips for 99213 vs. 99214 5 How to Create a Practice Culture of Well-Being 11 Patient Inducements: Dos and Don’ts 16 A Technique to Enhance Patients’ Understanding 20 From the Editor: Improving Quality Measures 4 Coding QandA: Billing for Well-Woman...

https://www.aafp.org/dam/AAFP/images/journals/campaign/2019_AFP-FPM-AFM-Journal-Policies.pdf

2019 FMX Practice Management Handouts

...way or laundry list), then it is up to the provider to code a -25 modifier and 99213/4/5 as appropriate per clinical judgment • Routine Physical Exams ARE NOT an Original/Straight Medicare covered benefit. If a Medicare patient is scheduled for IPPE/AWV and requests a Routine...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-practice-management.pdf

2019 FPM Media Kit

...99213 v s. 99214 5 How to Create a Practice Culture of Well -Being 11 Patient Inducem ents: Do s and Do n’ts 16 A Techn ique to Enhance Patient s’ Under standing 20 From th e Editor : Improv ing Qual ity Meas ures 4...

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/strategic_partnerships/common/fpm-media-kit.pdf

2019-mips-playbook.pdf

...O24.83 AND Patient encounter during performance period (CPT or HCPCS): 97802, 97803, 97804, 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99217, 99218, 99219, 99220, 99221, 99222, 99223, 99231, 99232, 99233, 99238, 99239, 99281, 99282, 99283, 99284, 99285,...

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/restricted/2019-mips-playbook.pdf

2019-mips-playbook.pdf

...O24.83 AND Patient encounter during performance period (CPT or HCPCS): 97802, 97803, 97804, 99201, 99202, 99203, 99204, 99205, 99211, 99212, 99213, 99214, 99215, 99217, 99218, 99219, 99220, 99221, 99222, 99223, 99231, 99232, 99233, 99238, 99239, 99281, 99282, 99283, 99284, 99285,...

Practice Management

https://www.aafp.org/content/dam/AAFP/documents/practice_management/restricted/2019-mips-playbook.pdf

2020_AFP_FPM_AFM_FPE_Journal_Policies_Rates.pdf

...Coding Tips for 99213 vs. 99214 5 How to Create a Practice Culture of Well-Being 11 Patient Inducements: Dos and Don’ts 16 A Technique to Enhance Patients’ Understanding 20 From the Editor: Improving Quality Measures 4 Coding QandA: Billing for Well-Woman...

Family Practice Management

https://www.aafp.org/dam/AAFP/documents/journals/fpm/offer/2020_AFP_FPM_AFM_FPE_Journal_Policies_Rates.pdf

2020-AFP-FPM-AFM-FPE_Journal-Policies-Rates.pdf

...Coding Tips for 99213 vs. 99214 5 How to Create a Practice Culture of Well-Being 11 Patient Inducements: Dos and Don’ts 16 A Technique to Enhance Patients’ Understanding 20 From the Editor: Improving Quality Measures 4 Coding QandA: Billing for Well-Woman...

https://www.aafp.org/dam/AAFP/images/journals/campaign/2020-AFP-FPM-AFM-FPE_Journal-Policies-Rates.pdf

33 hill newpatient.qxd

...99213 Expanded problem-focused Expanded problem-focused Low 15 99214 Detailed Detailed Moderate 25 99215 Comprehensive Comprehensive High 40 Two of the three key components must be met. New Patient Established Patient September 2003 ■ www.aafp.org / fpm ■ F A M I L...

Family Practice Management

https://www.aafp.org/fpm/2003/0900/p33.pdf

45/medicaid miracle

...Emergency Seen in Doctor’s Office - Intermediate Level Code: 99213 Fee: $35.52 Allowable for seeing patient in office rather than ER 10.00 Additional allowable for emergency service in office +35.00 $80.52 February 1994 / FAMILY PRACTICE MANAGEMENT ■ 47 impressive...

Family Practice Management

https://www.aafp.org/dam/AAFP/documents/journals/fpm/199402medicaid.pdf

99213 or 99214? Three Tips for Navigating the Coding Conundrum

...99213 or 99214? Three Tips for Navigating the Coding Conundrum Here’s how to quickly identify whether you’re on the path to a 99214 versus a 99213. ABOUT THE AUTHOR Richelle Marting is an attorney practicing with Forbes Law Group in Overland Park, Kan., where she focuses on...

Family Practice Management

https://www.aafp.org/fpm/2018/0700/p5.pdf

99213 or 99214? Three Tips for Navigating the Coding Conundrum -- FPM

Aug 1, 2018 - Here’s how to quickly identify whether you’re on the path to a 99214 versus a 99213.

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0700/p5.html

99213 vs. 99214: Three tips for spotting the difference -- FPM

Aug 22, 2018 - One of the most confounding aspects of evaluation and management (E/M) coding is the distinction between a 99213 and a 99214 established patient office visit. The following tips can help you recognize when a visit meets the requirements of a 99214, as opposed to a 99213.

Family Practice Management : In Practice Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/coding_99214.html

A Guide to Tobacco Cesssation Group Visits

Group visits include a group educational session plus most components of individual visits, including one-onone medical evaluations conducted by a physician or nurse practitioner.

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/nrn/GrpVisitGuide2012.pdf

A Multiple-Service Rule for E/M Services -- FPM

Jun 1, 2008 - A simple rule change could improve access and quality of care while reducing inequities between compensation for E/M services and for procedures.

Family Practice Management : Opinion

https://www.aafp.org/fpm/2008/0600/p9.html

A Quick-Reference Card for Identifying Level-4 Visits -- FPM

Aug 1, 1999 - The author's tool will help you keep in mind what qualifies a visit for a 99214 or a 99204.

Family Practice Management : Articles

https://www.aafp.org/fpm/1999/0700/p32.html

AAFP Comment Letter on 2019 Final Medicare Physician Fee Schedule - December 28, 2018

...and that the physician personally spent the current typical time for the CPT code reported (e.g., 15 minutes when reporting CPT code 99213). We support this plan and strongly urge CMS to implement it in 2020. This is the same approach now used when physicians code based on time...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/coverage/medicare/LT-CMS-2019FinalMPFS-122818.pdf

AAFP Letter to CMS Requesting Codes to be Added to the "Primary Care Exemption" List - ...

...present. Currently, the following codes are on the primary care exception list: • 99201, 99202, 99203 - New patient visits • 99211, 99212, 99213 - Follow-up patient visits • G0402, G0438, G0439 - Welcome to Medicare and Annual Wellness Visits With the proliferation of new...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-PrimaryCareExemption-100919.pdf

AAFP Letter to CMS with Final Comments on the 2019 Proposed Medicare Physician Fee ...

...patient office visit in counseling/coordination of care and chooses to code on the basis of time, the physician should select code 99213 (typical time of 15 minutes) rather than 99214 (typical time of 25 minutes), because the total time of the encounter did not reach the threshold...

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-2019ProposedMPFS-090618.pdf

AAFP News - Feb 1, 2011 - American Family Physician

Feb 1, 2011 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2011/0201/p239.html

AAFP News - Feb 15, 2009 - American Family Physician

Feb 15, 2009 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2009/0215/p259.html

AAFP News - Jan 1, 2011 - American Family Physician

Jan 1, 2011 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2011/0101/p19.html

AAFP News - Jan 15, 2007 - American Family Physician

Jan 15, 2007 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2007/0115/p153.html

AAFP News - May 1, 2009 - American Family Physician

May 1, 2009 - Selected policy and health issues news briefs from AAFP News Now.

American Family Physician : AAFP News: AFP Edition

https://www.aafp.org/afp/2009/0501/p733.html

Adult Obesity Management: Mindful Eating for Patients with Obesity

...experience and questions • e/m code: 99213 and 99214 Staffing • front desk and MA/nurse • Co-leader: LICSW, psychologist, or dietician/nutritionist 28 Documentation • Questionnaires for e/m documentation, nutrition documentation • Vital signs, labs • PMH, Problem list,...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-082-083.pdf

AHRQ’s Tools for Better Practice: Helping Family Physicians Manage Today’s Challenges

November 1, 2017: Editorials

American Family Physician

https://www.aafp.org/afp/2017/1101/p569.pdf

Americans in Motion - Healthy Interventions: A Guide to Group Visits for Chronic ...

Research indicates group visits can also provide an improved quality of care and a higher level of patient and physician satisfaction. They empower patients and also the physician and staff. Group visits allow for more time for education and relationship building. Group visits have ...

Patient Care

https://www.aafp.org/dam/AAFP/documents/patient_care/fitness/GroupVisitAIM.pdf

An Easy Way to Analyze E/M Coding for Group Practices -- FPM

Aug 1, 2002 - The author describes how practices can analyze their CPT coding distributions and determine whether they are billing for an appropriate range of services.

Family Practice Management : Articles

https://www.aafp.org/fpm/2002/0700/p20.html

Annual Wellness Visit: What's in it for Me?

...way or laundry list), then it is up to the provider to code a -25 modifier and 99213/4/5 as appropriate per clinical judgment • Routine Physical Exams ARE NOT an Original/Straight Medicare covered benefit. If a Medicare patient is scheduled for IPPE/AWV and requests a Routine...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-195-196.pdf

Answers to Your Questions on Solo, Idealized Practice -- Family Practice Management

...on what the patient wants but what the patient wants and needs. I document what I do and bill appropriately for that work. I do in fact have 99213 and even 99212 visits, as there are occasions where those codes best approximate what my patients want and need. When do you find...

Family Practice Management

https://www.aafp.org/fpm/2002/0500/p39.pdf

Answers to Your Questions on Solo, Idealized Practice -- FPM

May 1, 2002 - How does a solo doc with no support staff manage his referrals, order his supplies and give immunizations? Gordon Moore, MD, answers those questions and more.

Family Practice Management : Articles

https://www.aafp.org/fpm/2002/0500/p39.html

Are You Coding Accurately? -- FPM

Jun 1, 2004 - This article provides readers with step-by-step instructions for checking their E/M coding distribution with national guidelines established in the Centers for Medicare and Medicaid Family Practice Profile.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/0600/p20.html

Are You Prepared to Defend Your Coding? -- FPM

Jun 1, 2005 - The authors offer readers an action plan to use in reacting/responding to payers' accusations of incorrect coding.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/0600/p17.html

Breaking Even on Four Visits Per Day -- FPM

Jun 1, 2007 - Spurning health plan contracts enabled this practice to dramatically reduce overhead and fees while improving access for the uninsured.

Family Practice Management : Articles

https://www.aafp.org/fpm/2007/0600/p19.html

Chart Audit: Is Your Practice Billing What It Should? -- FPM

Apr 1, 2009 - A simple review may save your practice loads of money.

Family Practice Management : Articles

https://www.aafp.org/fpm/2009/0300/p15.html

Claims #236 NQF #0018: Controlling High Blood Pressure

2017 Individual Measures

Practice Management

https://www.aafp.org/dam/AAFP/documents/practice_management/payment/controlling-high-blood-pressure-claims.pdf

Coding -- FPM Topic Collection

Jul 23, 2010 - This article collection features popular FPM content on the subject of coding -- from getting all the 99214s you deserve to differentiating between new and established patient visits. This article collection features popular FPM content on the subject of coding -- from getting all the ...

Family Practice Management : Topic Collections

https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=49

Coding "Routine" Office visits: 99213 or 99214? -- Family Practice Management

...d ata show that family physicians choose 99213 for about 61 percent of visits with established Medicare patients and choose 99214 only about 23 percent of the time for the same type of visit.1 So 99213 must be the correct code to use for a routine visit, right? Not necessarily. Many...

Family Practice Management

https://www.aafp.org/fpm/2005/0900/p52.pdf

Coding "Routine" Office Visits: 99213 or 99214? -- FPM

Sep 1, 2005 - Before choosing 99213 for routine visits, consider whether your work qualifies for a 99214.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/0900/p52.html

Coding & Documentation - Jan-Feb 2009 -- FPM

Feb 1, 2009 - ...a patient comes in for a sinus infection and I administer an injection of Celestone for the sinus infection, can 90772 be billed along with 99213? What if the sinus infection was the primary focus of the visit but I administer a B12 shot for anemia? A You can report both codes as...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2009/0100/p30.html

Coding & Documentation - Jan-Feb 2016 -- FPM

Feb 1, 2016 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum A Refresher on Medical Necessity Skin Deep: How to Properly Code for Biopsies and Lesion Removal Editor's Collections Coding & Documentation Related Topic Searches Time-based coding MOST RECENT ISSUE...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2016/0100/p34.html

Coding & Documentation - Jul 2008 -- FPM

Aug 1, 2008 - ...to attach modifier 25 to the evaluation and management (E/M) code when an injection is also performed? For example, I have been coding 99213-25 with 90772. A Yes. CPT instructs that modifier 25 may be reported when a significant and separately identifiable E/M service is provided...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2008/0700/p43.html

Coding & Documentation - Jul-Aug 2018 -- FPM

Aug 1, 2018 - Medicare billing for well-woman exams | Pediatric hearing screening | Road rash treatment | Peak flow testing | Student documentation

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2018/0700/p31.html

Coding & Documentation - Mar-Apr 2018 -- FPM

Apr 1, 2018 - Time spent on chronic care management vs. time spent on E/M services | ICD-10 coding for bug bites | Billing for palliative care visits

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2018/0300/p41.html

Coding & Documentation - May-Jun 2019 -- FPM

Jun 1, 2019 - Same-day return visit | Modifier for incident-to services | Inpatient care billing by teaching physician | Biopsy of the outer ear | Multiple X-rays

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2019/0500/p31.html

Coding & Documentation - Nov-Dec 2012 -- FPM

Dec 1, 2012 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Coding Better for Better Reimbursement Coding Changes for Family Medicine in 2018 Editor's Collections Documentation Guidelines Coding & Documentation Related Topic Searches Time-based coding...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2012/1100/p31.html

Coding & Documentation - Nov-Dec 2018 -- FPM

Dec 1, 2018 - When the chief complaint is medication refill | 99221 for second hospital encounter? | Staph infection of a wound

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2018/1100/p32.html

Coding & Documentation - Sep-Oct 2015 -- FPM

Oct 1, 2015 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Editor's Collections Medicare Medicare Annual Wellness Visits Coding & Documentation Related Topic Searches Medicare Time-based coding MOST RECENT ISSUE Sep-Oct 2019 Access the latest issue of...

Family Practice Management : Coding & Documentation

https://www.aafp.org/fpm/2015/0900/p48.html

Coding Better for Better Reimbursement -- Family Practice Management

...99212 and 99213. The CPT require- ments for these two codes are shown side by side on page 33. As you can see, the differ- ence between the two can be slight.If you don’t fully document the work you do in a visit, you’ll often end up coding 99212s for visits that are easily 99213s....

Family Practice Management

https://www.aafp.org/fpm/2003/0100/p29.pdf

Coding Better for Better Reimbursement -- FPM

Jan 1, 2003 - Your work is worth more than you think. You just need to document and code it better.

Family Practice Management : Articles

https://www.aafp.org/fpm/2003/0100/p29.html

Coding for Depression Without Getting Depressed -- FPM

Mar 1, 2004 - Here is what you need to know to code and be reimbursed for counseling and treating patients with depression.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/0300/p23.html

Coding for Vaccine Administration -- Physician Payment

Dec 22, 2017 - Find out the correct coding procedures for vaccine administration.

Practice Management : Payment for Physicians

https://www.aafp.org/practice-management/payment/coding/admin.html

Coding From the Bottom Up -- FPM

Dec 1, 2008 - Start from the presenting problem to get to the right code faster.

Family Practice Management : Articles

https://www.aafp.org/fpm/2008/1100/p22.html

Coding Level-IV Visits Without Fear -- FPM

Feb 1, 2006 - Use this worksheet to quickly assess whether you can code a 99214.

Family Practice Management : Articles

https://www.aafp.org/fpm/2006/0200/p34.html

Coding office visits the easy way - based on time -- FPM

Feb 9, 2018 - An E/M office visit may be coded based solely on face-to-face time when more than half is devoted to counseling or coordination of care.

Family Practice Management : In Practice Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/coding_office_visits_the_easy_way.html

CPT 2007: New Codes, New Rules and New Opportunities -- FPM

Jan 1, 2007 - Your superbill should reflect revised codes related to anticoagulation management, lesion destruction and more on Jan. 1.

Family Practice Management : Articles

https://www.aafp.org/fpm/2007/0100/p27.html

CPT and ICD-9 Coding: The Right Tools for the Job -- FPM

Dec 1, 2008 - An enhanced version of our popular pocket guide and the annual update of another favorite reference add power to the FPM Toolbox.

Family Practice Management : Articles

https://www.aafp.org/fpm/2008/1100/p36.html

CPT Update for 2013 -- FPM

Dec 1, 2012 - This year's changes include some promising new codes for care coordination.

Family Practice Management : Articles

https://www.aafp.org/fpm/2012/1100/p8.html

Detailed Methodology for Potential Variation and Impact of Cuts in Medicare Payment ...

...This work RVU is comparable to the average for a Medicare Evaluation and Management visit in primary care, roughly between the value of a 99213 and 99214 visit, which are the two most frequently used billing codes in primary care. We then modeled the loss of the GPCI floor, and loss...

https://www.aafp.org/dam/rgc/documents/maps-data-tools/maps-methodology/medicare-payment-methodology.pdf

Do You Know What Is (or Isn't) in Your Documentation? -- FPM

Aug 1, 2013 - Leaving out key information in patient documentation can compromise quality and cost you money.

Family Practice Management : Articles

https://www.aafp.org/fpm/2013/0700/p23.html

Documentation Guidelines for Established Patient Visits

...99211 99212 99213 99214 99215 History CC N/A Required Required Required Required HPI N/A 1-3 elements 1-3 elements 4+ elements (or 3+ chronic diseases) 4+ elements (or 3+ chronic diseases) ROS N/A N/A Pertinent 2-9 systems 10+ systems PFSH N/A N/A N/A 1...

Family Practice Management

https://www.aafp.org/fpm/2003/1000/fpm20031000p31-rt1.pdf

Documenting History at a Glance

...99213 Expanded problem focused Expanded problem focused Low complexity 15 min. 99214 Detailed Detailed Moderate complexity 25 min. 99215 Comprehensive Comprehensive High complexity 40 min. 2 of 3 required New Patient Office Visit Code History Exam Medical...

Family Practice Management

https://www.aafp.org/fpm/2010/0300/fpm20100300p22-rt1.pdf

Documenting History in Compliance With Medicare's Guidelines -- FPM

Apr 1, 2010 - The difference between one level and the next may be no more than a word or two.

Family Practice Management : Articles

https://www.aafp.org/fpm/2010/0300/p22.html

E-Prescribing codes for 2012 -- FPM

Feb 22, 2012 - E-Prescribing codes for 2012

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/e_prescribing_codes_for_2012.html

E/M Coding and the Documentation Guidelines: Putting It All Together -- FPM

Oct 1, 2011 - It's time to test your E/M coding skills.

Family Practice Management : Articles

https://www.aafp.org/fpm/2011/0900/p33.html

Early Thoughts on the 2019 Fee Schedule

Jul 31, 2018 - AAFP staff members are reviewing the 2019 Medicare physician fee schedule. In the latest In the Trenches post, Senior Vice President for Advocacy, Practice Advancement and Policy Shawn Martin shares some initial reactions based on the Academy's early evaluation of the proposal.

AAFP News : In the Trenches : Blogs

https://www.aafp.org/news/blogs/inthetrenches/entry/20180731itt_feeschedule.html

Endocrine handouts

...experience and questions • e/m code: 99213 and 99214 Staffing • front desk and MA/nurse • Co-leader: LICSW, psychologist, or dietician/nutritionist 28 Documentation • Questionnaires for e/m documentation, nutrition documentation • Vital signs, labs • PMH, Problem list,...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-endocrine-handouts.pdf

Establishment of Separate Primary Care Codes

Letter to CMS Regarding the Establishment of Separate Primary Care Codes

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-PrimaryCareCodes-032713.pdf

Evaluation and management (E/M) coding and documentation burden could lighten in 2019 ...

Jul 13, 2018 - The Centers for Medicare and Medicaid Services' proposed rule for the Physician Fee Schedule for 2019 contains significant revisions to the coding, documentation, and payment of office visit evaluation and management services.

Family Practice Management : Getting Paid Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/em_coding_proposed_changes.html

Family Practice Management

...1 BAN 5/8/08 99213 None Office visit 99213 $85 None $85 No Charge never entered 2 JAl 5/8/08 Not found None New patient visit, quick strep test 99203 87880 $128 None $128 No lost superbill 3 BAN 5/8/08 99396 82270 90718 Same Same, plus vaccine administration...

Family Practice Management

https://www.aafp.org/fpm/2009/0300/p15.pdf

Family Practice Management

...A brief HPI limits the level of history to problem focused or expanded problem focused, and that limits the level of a follow-up visit to 99213 unless both the exam and the medical decision making are involved enough to justify a higher level without reference to the history. To...

Family Practice Management

https://www.aafp.org/fpm/2010/0300/p22.pdf

Fighting for a Fee Schedule That Works for You, Your Patients

Aug 21, 2018 - The AAFP is working on a detailed response to the proposed 2019 Medicare physician fee schedule that steers CMS toward fixes that will help family physicians give patients the comprehensive, continuous care they expect.

AAFP News : As We See It: Voices From the AAFP

https://www.aafp.org/news/opinion/20180821presmsg-mpfs.html

First Session -- 2006 Congress of Delegates

...get to work! The RUC did get to work. Work values for E and M codes were increased and, as a result, we can expect payment increases in the 99213 and 99214 E/M codes, the two codes most often used by family physicians. Thank you, Dr. Felger, for carrying us on your back. (22)...

About AAFP

https://www.aafp.org/dam/AAFP/documents/about_us/congress/restricted/2006/firstsession.pdf

First Session -- 2006 Congress of Delegates

...get to work! The RUC did get to work. Work values for E and M codes were increased and, as a result, we can expect payment increases in the 99213 and 99214 E/M codes, the two codes most often used by family physicians. Thank you, Dr. Felger, for carrying us on your back. (22)...

About AAFP

https://www.aafp.org/content/dam/AAFP/documents/about_us/congress/restricted/2006/firstsession.pdf

Five Common Coding Mistakes That Are Costing You -- FPM

Apr 1, 2011 - Fix these problems to increase your bottom line.

Family Practice Management : Articles

https://www.aafp.org/fpm/2011/0300/p31.html

Four Coding and Payment Opportunities You Might Be Missing -- FPM

Jun 1, 2016 - You’re likely already doing the work, so why not get paid for it?

Family Practice Management : Articles

https://www.aafp.org/fpm/2016/0500/p30.html

Four tips to help you spend less time charting -- FPM

Oct 10, 2019 - To get through your routine documentation more efficiently and reduce work after clinic, try these tips.

Family Practice Management : In Practice Blog : FPM Home

https://www.aafp.org/journals/fpm/blogs/inpractice/entry/spend_less_time_on_charting.html

FPM Superbill

...Anoscopy 46600 Venipuncture 36415 Problem focused 99201 99212 Audiometry 92551 Blood glucose, visual dipstick 82948 Exp problem focused 99202 99213 Cerumen removal, w/ instrument, uni 69210 CBC, w/ auto, differential 85025 Detailed 99203 99214 Cerumen removal, w/o instrument, uni...

Family Practice Management

https://www.aafp.org/dam/AAFP/documents/journals/fpm/fpmsuperbill.pdf

FPM-Media-Kit-2020.pdf

...99213 v s. 99214 5 How to Create a Practice Culture of Well -Being 11 Patient Inducem ents: Do s and Do n’ts 16 A Techn ique to Enhance Patient s’ Under standing 20 From th e Editor : Improv ing Qual ity Meas ures 4 Coding Q...

Family Practice Management

https://www.aafp.org/dam/AAFP/documents/journals/fpm/FPM-Media-Kit-2020.pdf

fpm20020700p20-rt1.xls

...99213 OV,Est.,Low-Expanded 475 20.14% 2046 76.72% 1542 74.96% 4063 57.36% 40.92% 99214 OV,Est.,Moderate-Detailed 125 5.30% 224 8.40% 128 6.22% 477 6.73% 51.70% 99215 OV,Est.,High-Comp. 36 1.53% 24 0.90% 28 1.36% 88 1.24% 2.98% Totals 2359 100.00% 2667 100.00% 2057...

Family Practice Management

https://www.aafp.org/fpm/2002/0700/fpm20020700p20-rt1.xls

fpm20041000p31-rt1.xls

...99213 Level 3 office visit, est 2269 $51.63 $65 126% $58 112% $62 120% 99232 Subsequent hospital care 596 $54.27 $65 120% $60 111% $65 120% 99214 Level 4 office visit, est 1977 $80.65 $100 124% $90 112% $97 120% 45330 Sigmoidoscopy 112 $117.28 $125 107% $125 107% $141...

Family Practice Management

https://www.aafp.org/fpm/2004/1000/fpm20041000p31-rt1.xls

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