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
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
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
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
Practice Essentials -- FPM Topic Collection
Nov 8, 2011 - If you want a quick course on those aspects of practice that you didn't learn about in medical school and residency, or if you're new to practice and feeling overwhelmed, this Practice Essentials article collection will introduce you to the basics -- from coding to contracting to time ...
- Access to Care
- Coding
- Electronic Health Records
- Life Balance
- Malpractice
- Negotiating and Contracting
- Patient-Centered Medical Home
- Physician-Patient Communication
- Practice Efficiency
- Time Management
Family Practice Management : Topic Collections
https://www.aafp.org/fpm/topicModules/viewTopicModule.htm?topicModuleId=74
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 -- 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
Medicare Wellness Visits: Reassessing Their Value to Your Patients and Your Practice --...
Apr 1, 2019 - Providing Medicare wellness visits can be challenging but can improve quality and practice revenue.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0300/p25.html
The 2019 Medicare Documentation, Coding, and Payment Update -- FPM
Feb 1, 2019 - This year’s changes include some welcome documentation relief, new codes for portal and telephone encounters, and much more.
Family Practice Management : Articles
https://www.aafp.org/fpm/2019/0100/p23.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
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
Primary Care Exception Needs Expansion, AAFP Tells CMS
Oct 14, 2019 - In an Oct. 9 letter to CMS, the Academy advocated for the expansion of codes under the primary care exception rule -- an update that would reduce administrative complexity without compromising patient care.
AAFP News : Government and Medicine
https://www.aafp.org/news/government-medicine/20191014exceptionrule.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
Think 99214 if you see these problems or procedures -- FPM
Jun 20, 2019 - The risk component of medical decision making is more subjective and can be difficult to identify, so here’s what to look for.
Family Practice Management : In Practice Blog : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/99214_presenting_problems.html
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
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 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
Six keys to coding 99211 visits -- FPM
Aug 20, 2018 - Using CPT code 99211 can boost your practice’s revenue and improve documentation. Here's how to determine if a service qualifies.
Family Practice Management : In Practice Blog : FPM Home
https://www.aafp.org/journals/fpm/blogs/inpractice/entry/coding_99211.html
Services Not Covered by Medicare -- Physician Payment
Aug 10, 2018 - Learn about the two categories of services not covered by Medicare, including services not deemed medically reasonable or necessary and non-covered services.
Practice Management : Payment for Physicians
https://www.aafp.org/practice-management/payment/coding/non-covered-services.html
Quality Measurement: A Long Way to Go -- FPM
Aug 1, 2018 - Physician quality shouldn't be subjective. But the current measurement methods need more work.
Family Practice Management : From the Editor
https://www.aafp.org/fpm/2018/0700/p4.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
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
What's your coding profile? -- FPM
Feb 2, 2018 - Comparing your E/M coding distribution with national benchmarks will help you identify aberrant coding patterns and make adjustments before they raise a red flag with payers or cost your practice money.
Family Practice Management : Getting Paid Blog : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/whats_your_coding_profile.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
Jan 3, 2018 - 2018 issues of FPM journal
Family Practice Management : FPM Home
https://www.aafp.org/journals/fpm/explore/past/2018.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
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
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 - 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 Nov-Dec 2019 Access the latest issue of...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2015/0900/p48.html
Treating Dementia With Shared Group Visits -- FPM
Jun 1, 2015 - Seeing patients with dementia in a group setting can streamline visits and help provide support for caregivers and families.
Family Practice Management : Articles
https://www.aafp.org/fpm/2015/0500/p16.html
Time Is on Your Side: Coding on the Basis of Time -- FPM
Dec 1, 2008 - E/M coding can be so complex that you forget those visits where it's just a matter of time.
Family Practice Management : Articles
https://www.aafp.org/fpm/2008/1100/p17.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
Transitional Care Management Services: New Codes, New Requirements -- FPM
Jun 1, 2013 - Two new codes will help you get paid for managing a patient’s transition from the inpatient to outpatient setting, but they come with new expectations.
Family Practice Management : Articles
https://www.aafp.org/fpm/2013/0500/p12.html
Coding & Documentation - May-Jun 2014 -- FPM
Jun 1, 2014 - ...Regarding transitional care management codes 99495 and 99496, if we see the patient for a 99213- or 99214-level service before the end of the 30-day period, can we bill for that visit at that time and then bill the 99495 after the 30 days? A The first face-to-face visit with the...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2014/0500/p29.html
Potential pitfall in Medicare billing: psychotherapy in conjunction with an evaluation ...
May 30, 2014 - Potential pitfall in Medicare billing: psychotherapy in conjunction with an evaluation and management service
Family Practice Management : Getting Paid Blog : FPM Home
https://www.aafp.org/journals/fpm/blogs/gettingpaid/entry/potential_pitfall_in_medicare_billing.html
Practice Pearls - Mar-Apr 2014 -- FPM
Apr 1, 2014 - ...the Centers for Medicare and Medicaid Services (CMS) said a physician could furnish a medically necessary face-to-face E/M visit (CPT code 99213 or similar code depending on level of service) to a patient that is observed by other patients. The agency added that none of the...
Family Practice Management : Practice Pearls
https://www.aafp.org/fpm/2014/0300/p28.html
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
Coding & Documentation - Nov-Dec 2013 -- FPM
Dec 1, 2013 - ...In general, the AAFP advises that you report an E/M code, such as 99213, for a patient seen in a group setting as long as your documentation supports that you provided the key components of the code. In other words, the fact that an E/M service was provided in the presence of other...
Family Practice Management : Coding & Documentation
https://www.aafp.org/fpm/2013/1100/p28.html
We're Changing Our Approach to the RUC
Mar 16, 2012 - Evaluation and management codes, such as 99213 and 99214, are limited by Medicare billing rules. More importantly, they fail to reflect the complexity of our patients' conditions, the effect one of those conditions might have on another, and the intensity of the services we routinely ...
AAFP News : As We See It: Voices From the AAFP
https://www.aafp.org/news/opinion/20120316presmessonruc.html
Jun 13, 2013 - Access the 2005 issues of FPM.
Family Practice Management : FPM Home
https://www.aafp.org/journals/fpm/explore/past/2005.html
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
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
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
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
Understanding When to Use the New Patient E/M Codes -- FPM
Sep 1, 2003 - Even an old patient can be new.
Family Practice Management : Articles
https://www.aafp.org/fpm/2003/0900/p33.html
Resolution No. 305 (Virginia C) - Request the AAFP to Work with Insurers to Reduce the ...
May 7, 2015 - This resolution asks that the AAFP collaborate with the American Medical Association (AMA), America’s Health Insurance Plans (AHIP), and other appropriate stakeholders to develop and implement best practices for the standardization of the prior authorization process across managed care ...
About AAFP : Organizational Leadership
https://www.aafp.org/about/governance/congress-delegates/previous/2014/resolutions/virginia-c.mem.html
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
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
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
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