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99213

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fpm20041100p43-rt1.xls

...Current Medicare payment for 99213 in your area (e.g. $47.08): B $0.00 Additional income per 99214 visit (A - B) C $0.00 Current annual number of visits coded 99213: D 0 Additional visits coded 99214 with improved coding (0.1 x D): E 0 Estimated increase in...

Family Practice Management

https://www.aafp.org/fpm/2004/1100/fpm20041100p43-rt1.xls

fpm20070400p39-rt1.xls

...99213 OV,Est.,Low-Expanded 475 20.14% 2046 76.72% 1542 74.96% 4063 57.36% 48.19% 99214 OV,Est.,Moderate-Detailed 125 5.30% 224 8.40% 128 6.22% 477 6.73% 40.23% 99215 OV,Est.,High-Comp. 36 1.53% 24 0.90% 28 1.36% 88 1.24% 3.56% Totals 2359 100.00% 2667 100.00% 2057...

Family Practice Management

https://www.aafp.org/fpm/2007/0400/fpm20070400p39-rt1.xls

fpm20090300p15-rt1.xls

...1 BAN 5/7/12 99213 None Office visit 99213 $ 95 None 95 Physician queried on diagnosis; no response or follow up; past filing limit. 2 JAL 5/7/12 Not found None New patient visit, quick strep test 99203 87880 $ 144 None 144 Services provided but charge not entered. No follow up....

Family Practice Management

https://www.aafp.org/fpm/2009/0300/fpm20090300p15-rt1.xls

FPMPocketGuide.pdf

...99213 EPF EPF LC 15 min. 99214 D D MC 25 min. 99215 C C HC 40 min. 2 of 3 required N E W P A T IE N T E S TA B LI S H E D P A T IE N T Code History Exam Decision Making Time 99201 PF PF S 10 min. 99202 EPF EPF S 20 min. 99203...

American Family Physician

https://www.aafp.org/dam/AAFP/documents/journals/afp/FPMPocketGuide.pdf

fpmsuperbill.xls

...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 69209 CBC, w/o auto 85027 Comp (established pt) 99204 99215 Colposcopy 57452 Cholesterol 82465 Comp (new...

Family Practice Management

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

fpmsuperbill.xls

...Exp problem focused 99202 99213 Cerumen removal w/ instrument 69210 CBC, automated, w/ differential 85025 Detailed 99203 99214 Cerumen removal w/o instrument 69209 CBC, automated, w/o differential 85027 Comp (moderate complexity) 99204 Colposcopy 57452 Cholesterol 82465...

Family Practice Management

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

From the Presenting Problem to the Code

...99213 15 minutes Decision Making (presenting problem) • 2 or more self-limited problems • 1 stable chronic illness • Acute uncomplicated illness (cystitis, sprain) 99203 30 minutes Decision Making (presenting problem) • 2 or more self-limited problems • 1...

Family Practice Management

https://www.aafp.org/fpm/2008/1100/fpm20081100p22-rt1.pdf

Getting Paid for What You Do

...99213 Expanded problem-focused Expanded problem-focused Low Complexity 99214 Detailed Detailed Moderate Complexity 99215 Comprehensive Comprehensive High Complexity New Patient ● Has not received any professional services from the physician, or another physician of...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-246-247.pdf

Getting Your Notes Done on Time -- FPM

Apr 1, 2016 - These seven tips can help you spend less time on charting.

Family Practice Management : The Last Word

https://www.aafp.org/fpm/2016/0300/p40.html

GME_2011.xls

...2011 230230 EDWARD W. SPARROW HOSPITAL MI 01/01/2011 12/31/2011 Settled with Audit 6923571 13920985 20844556 101.92 76.69 99213.9 93946.84 171.76 189.39 520 12 2011 230236 METROPOLITAN HOSPITAL MI 07/01/2011 06/30/2012 As Submitted 1379787 4220276 5600063 20.83 42.94 81303.14...

https://www.aafp.org/dam/rgc/documents/maps-data-tools/gme_teaching_hospitals/GME_2011.xls

GME_2011.xlsx

...2011 230230 EDWARD W. SPARROW HOSPITAL MI 01/01/2011 12/31/2011 Settled with Audit 6923571 13920985 20844556 101.92 76.69 99213.9 520 12 93946.84 171.76 189.39 2011 230236 METROPOLITAN HOSPITAL MI 07/01/2011 06/30/2012 As Submitted 1379787 4220276 5600063 20.83 42.94 81303.14...

https://www.aafp.org/dam/rgc/documents/maps-data-tools/gme_teaching_hospitals/GME_2011.xlsx

Good news from Medicare, over time -- FPM

Dec 2, 2010 - Good news from Medicare, over time

Family Practice Management : Getting Paid Blog : FPM Home

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

Group Visits 101 -- FPM

May 1, 2003 - In addition to providing step-by-step instructions for launching group visits, the authors lay out the rationale for group visits and how to code for them.

Family Practice Management : Articles

https://www.aafp.org/fpm/2003/0500/p66.html

Group Visits Hit the Road -- Family Practice Management

...10 99213-level visits (I didn’t bill for the three seniors who had other physicians). It is impor- tant to note, though, that although I was reimbursed for the codes I submitted, this may not be the case with all payers. In fact, the CPT Editorial Panel gives different advice,...

Family Practice Management

https://www.aafp.org/fpm/2004/0900/p39.pdf

Group Visits Hit the Road -- FPM

Sep 1, 2004 - By taking group visits to his elderly patients, this physician found a way to meet their needs and those of his practice - and have fun at the same time.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/0900/p39.html

GRUpdate

GRUpdate

https://www.aafp.org/dam/foundation/documents/Internal/workingparty/GRUpdate.pdf

House Calls: Taking the Practice to the Patient -- FPM

Jun 1, 2000 - Visiting patients where they live is not only good medicine and good marketing. It's also good for the soul.

Family Practice Management : Articles

https://www.aafp.org/fpm/2000/0600/p49.html

How Do You Cope With Bundled Claims? -- FPM

Apr 1, 2006 - Don’t cheat yourself. That’s the health plan’s job.

Family Practice Management : From the Editor

https://www.aafp.org/fpm/2006/0400/p14.html

How to Analyze Your E/M Coding Profile -- FPM

Apr 1, 2007 - Your peers have been coding more 99214s. Is it time to review your coding habits?

Family Practice Management : Articles

https://www.aafp.org/fpm/2007/0400/p39.html

How to Create a Culture of Well-Being in Your Practice -- FPM

Aug 1, 2018 - Every organization has a culture, either by default or by design. Why not cultivate one that helps people thrive?

Family Practice Management : Articles

https://www.aafp.org/fpm/2018/0700/p11.html

How to Document and Bill Care Plan Oversight -- FPM

May 1, 2005 - This article will describe how to bill for and document care plan oversight, balancing it as a billing opportunity and a compliance risk. It will include a form for documenting CPO.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/0500/p23.html

How to Get All the 99214s You Deserve -- FPM

Oct 1, 2003 - It’s easier than you might think to get what’s coming to you. [FPM Classics issue.]

Family Practice Management : Articles

https://www.aafp.org/fpm/2003/1000/p31.html

How to Get All the99214s You Deserve -- Family Practice Management

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

Family Practice Management

https://www.aafp.org/fpm/2003/1000/p31.pdf

How to handle a rude patient -- FPM

Aug 23, 2018 - When you encounter patient rudeness or other difficult behaviors, the technique of reframing can help.

Family Practice Management : In Practice Blog : FPM Home

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

How to Implement Care Management in Your Office

...A. 99213 B. 99214 C. 99495 D. 99496 Pre-Visit Planning You often run behind in clinic and spend too much time after hours doing charts. During pajama time, you realize you forgot to update the patient’s health maintenance. What would you like your care coordinator to do prior...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx19-209-210.pdf

How to Stop Hemorrhaging Red Ink -- FPM

Mar 1, 2001 - This article lists tips practices can use to prevent lost revenues.

Family Practice Management : Articles

https://www.aafp.org/fpm/2001/0300/p16.html

How to Use Group Visits to Manage Obesity

...for each patient. We have typically submit- ted 99213 and been paid appropriately for these visits. Because some insurers may not pay for treatment of overweight or obesity alone, you should be sure to submit diagno- sis codes for any conditions that are exac- erbated by overweight...

Family Practice Management

https://www.aafp.org/fpm/2019/0900/p20.pdf

How to Use Group Visits to Manage Obesity -- FPM

Oct 1, 2019 - Clinic and community resources combine to support patients in this unique group-visit model.

Family Practice Management : Articles

https://www.aafp.org/fpm/2019/0900/p20.html

How We Improved Our Practice and Our Bottom Line With a New EMR System -- FPM

Aug 1, 2008 - This four-physician practice has good reason to be enthusiastic about new technology.

Family Practice Management : Articles

https://www.aafp.org/fpm/2008/0700/p25.html

ICD-9 Changes: It's Time to Tend to Your Superbill -- FPM

Sep 1, 2005 - You’ve got until Oct. 1 to weed out incorrect codes.

Family Practice Management : Articles

https://www.aafp.org/fpm/2005/0900/p49.html

Impact of Cuts in Medicare Payment: Wyoming

...based on current reimbursement mechanisms, average Medicare patient population, and billing for an EandM code averaged between 99213 and 99214. (for complete methodology: http://www.graham- center.org/online/graham/home/tools-resources/maps/maps/medicare-payment/methods.html). •...

https://www.aafp.org/dam/rgc/documents/maps-data-tools/state-collections/cuts-medicare/WY.pdf

In Search of a Super Superbill -- FPM

Sep 1, 2006 - This superbill incorporates the best characteristics of superbills submitted by FPM readers.

Family Practice Management : Articles

https://www.aafp.org/fpm/2006/0900/p43.html

Incentive Payments Lead to Healthier Patients, Say Michigan FPs

Mar 9, 2015 - Three primary care physicians in Michigan discuss their experiences with a payment incentive program offered by a private insurer.

AAFP News : Practice and Professional Issues

https://www.aafp.org/news/practice-professional-issues/20150309tieredpayments.html

Is Your Medicare Payer Playing by the Rules? -- FPM

Aug 1, 2010 - Don't let varying interpretations of the evaluation and management guidelines keep you from getting paid.

Family Practice Management : Articles

https://www.aafp.org/fpm/2010/0700/p27.html

Joint Letter to CMS Requesting Addtional Out-Patient

Joint letter to CMS requesting CMS engage in a process to create additional outpatient evaluation and management codes

Advocacy

https://www.aafp.org/dam/AAFP/documents/advocacy/payment/medicare/LT-CMS-EMCoding-031615.pdf

July/August 2018

...99213 or 99214? Three Tips for Navigating the Coding Conundrum Richelle Marting How to Create a Culture of Well-Being in Your Practice Mark H. Greenawald Patient Inducements: The New Dos and Don'ts Alice G. Gosfield Teach-Back: A Simple Technique to Enhance...

Family Practice Management

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

Letters - Jun 2004 -- FPM

Jun 1, 2004 - ...99213 or 99214? Three Tips for Navigating the Coding Conundrum Getting Paid for Screening and Assessment Services Four Coding and Payment Opportunities You Might Be Missing Editor's Collections Coding Related Topic Searches CPT: Evaluation and management codes MOST...

Family Practice Management : Letters

https://www.aafp.org/fpm/2004/0600/p18b.html

Level-II vs. Level-III Visits: Cracking the Codes -- FPM

Jan 1, 2007 - Once you learn the rules, choosing the right code is easier than you think.

Family Practice Management : Articles

https://www.aafp.org/fpm/2007/0100/p21.html

Living the "Marcus Welby MD" Dream

...AES Question #3 Which of the following is typically NOT required in order to bill for a 99213 or 99214 visit as part of a Group Medical Visit? A. A brief face-to-face encounter with that patient. B. A basic review of systems ( can be form generated) C.A brief physical exam ( such as...

Events

https://www.aafp.org/dam/AAFP/documents/events/fmx/handouts/fmx18-250-251.pdf

Making Medicare Wellness Visits Work in Practice -- FPM

Oct 1, 2012 - Taking a systematic, team-based approach can make these services valuable for physicians and patients.

Family Practice Management : Articles

https://www.aafp.org/fpm/2012/0900/p11.html

Making Quality and Service Pay: Part 1, The Internal Environment -- FPM

Oct 1, 2000 - Insurers may not explicitly reward your practice for improved quality and service, but there is a way to make quality and service pay.

Family Practice Management : Articles

https://www.aafp.org/fpm/2000/1000/p48.html

Making Sense of Preventive Medicine Coding -- Family Practice Management

...99213-25* Office outpatient E/M service for established patient 93000 Electrocardiogram 71020 Chest X-ray, PA and lateral *The level of service represents only an example. The level reported should be determined by the documented history, exam and/or medical decision...

Family Practice Management

https://www.aafp.org/fpm/2004/0400/p49.pdf

Making Sense of Preventive Medicine Coding -- FPM

Apr 1, 2004 - Find out how to properly code and bill for the preventive services you provide.

Family Practice Management : Articles

https://www.aafp.org/fpm/2004/0400/p49.html

Medical Coding for Group Visits -- Physician Payment

Dec 22, 2017 - Find out the coding procedures to follow to receive Medicare payment for group visits.

Practice Management : Payment for Physicians

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

Medicare Payment Report: Impact of real and threatened cuts for Alaska's healthcare ...

...based on current reimbursement mechanisms, average Medicare patient population, and billing for an EandM code averaged between 99213 and 99214. (for complete methodology: http://www.graham- center.org/online/graham/home/tools-resources/maps/maps/medicare-payment/methods.html). •...

https://www.aafp.org/dam/rgc/documents/maps-data-tools/state-collections/cuts-medicare/AK.pdf

Medicare Payment Report: Impact of real and threatened cuts for Arizona's healthcare ...

...based on current reimbursement mechanisms, average Medicare patient population, and billing for an EandM code averaged between 99213 and 99214. (for complete methodology: http://www.graham- center.org/online/graham/home/tools-resources/maps/maps/medicare-payment/methods.html). •...

https://www.aafp.org/dam/rgc/documents/maps-data-tools/state-collections/cuts-medicare/AZ.pdf

Medicare Payment Report: Impact of real and threatened cuts for Arkansas's healthcare ...

...based on current reimbursement mechanisms, average Medicare patient population, and billing for an EandM code averaged between 99213 and 99214. (for complete methodology: http://www.graham- center.org/online/graham/home/tools-resources/maps/maps/medicare-payment/methods.html). •...

https://www.aafp.org/dam/rgc/documents/maps-data-tools/state-collections/cuts-medicare/AR.pdf

Medicare Payment Report: Impact of real and threatened cuts for California's healthcare...

...based on current reimbursement mechanisms, average Medicare patient population, and billing for an EandM code averaged between 99213 and 99214. (for complete methodology: http://www.graham- center.org/online/graham/home/tools-resources/maps/maps/medicare-payment/methods.html). •...

https://www.aafp.org/dam/rgc/documents/maps-data-tools/state-collections/cuts-medicare/CA.pdf

Medicare Payment Report: Impact of real and threatened cuts for Colorado's healthcare ...

...based on current reimbursement mechanisms, average Medicare patient population, and billing for an EandM code averaged between 99213 and 99214. (for complete methodology: http://www.graham- center.org/online/graham/home/tools-resources/maps/maps/medicare-payment/methods.html). •...

https://www.aafp.org/dam/rgc/documents/maps-data-tools/state-collections/cuts-medicare/CO.pdf

Medicare Payment Report: Impact of real and threatened cuts for Connecticut's ...

...based on current reimbursement mechanisms, average Medicare patient population, and billing for an EandM code averaged between 99213 and 99214. (for complete methodology:http://www.graham- center.org/online/graham/home/tools-resources/maps/maps/medicare-payment/methods.html). •...

https://www.aafp.org/dam/rgc/documents/maps-data-tools/state-collections/cuts-medicare/CT.pdf

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