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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 New Year's Present From Medicare -- and Three From FPM -- FPM

Jan 1, 1998 - Alludes to HCFA's delay in enforcing the new version of the documentation guidelines, introduces online version of FPM Quiz.

Family Practice Management : Opinion

https://www.aafp.org/fpm/1998/0100/p6.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 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

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