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A New Element of MDM: Social Determinants of Health

WEBCMS defines social determinants of health as “ the range of social, environmental, and economic factors that can influence health status—conditions that …

Actived: 8 days ago

URL: https://namas.co/a-new-element-of-mdm-social-determinants-of-health/

2021 E&M Changes – Data in the Medical Decision Making (MDM)

WEBIn 2021, CPT changes this heading to “The amount and/or complexity of data to be reviewed and analyzed.”. Notice the new header specifies “and analyzed.”. In …

Category: Health Go Health

Telehealth Fact Sheet and E/M Tips for 2024: REVISED 02.2024

WEBHere is a checklist and compliance “Tips” for Telehealth services in 2024, primarily for Medicare, that will help you stay compliant: As of 08/09/2023, all Telehealth …

Category: Health Go Health

2021 E&M Changes: Defining the Differences

WEBThe 2021 E&M guidelines again come to the rescue. They define an undiagnosed new problem with an uncertain prognosis as “a problem in the differential …

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E/M 2021 Guidelines and the Importance of SDOH

WEBAs of January 1, 2021, we have been given new Evaluation and Management Guidelines for Outpatient Office and Ambulatory services that encompass specific areas …

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Understanding MDM in 2021, Part I Number and Complexity …

WEBHas been taking medication for GERD for years. Also reports dysphagia with foods. 3. refill medication. Requesting refills on vitamin D through mail order. Dose was 1,000 units …

Category: Food, Vitamin Go Health

The SOAP Note Revisited in 2021

WEBIf in 2021 in the office/outpatient space, the exam is truly represented in terms that the extent required becomes based on clinical judgment of the presenting problem …

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How to Interpret the SDoH Assessment appropriately.

WEB2024 brought new HCPCS codes that Medicare, Medicare Advantage and some 3 rd -party Commercial plans that they will now pay for. One of those codes is the …

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Navigating the Importance of the Diagnosis in the Audit Landscape

WEBExplore the critical role of diagnoses in the audit landscape within the ever-changing healthcare business environment. Discover how medical audits, led by a …

Category: Medical Go Health

Medical Auditing Training, Medical Coding Audit Services

WEBNAMAS is setting the standards in medical auditing & education. NAMAS humbly began as a educator and certifying body in medical auditing in 2007 and quickly …

Category: Medical Go Health

Revisiting Telehealth Billing Guidelines for CMS in the Era of COVID

WEBThe most common billing codes used for telemedicine visits that CMS provides are 99201 through 99215 for office or outpatient visits, G0425, G0424, and …

Category: Medicine Go Health

Understanding Chronic and Principal Care Management Services …

WEBCMS sets a medically unlikely limit of 2 units per encounter for the add-on code, which means in most cases the maximum possible reimbursement would be $205 …

Category: Medical Go Health

Understanding MDM in 2021 – Part 1

WEBNumber and/or Complexity of Problems Addressed: Straightforward (self-limited) 99202. 99212: 1 self-limited or minor problem: May not require the presence of …

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Problems Addressed During an Encounter

WEBFor hospital inpatient and observation care services, the problem addressed is the problem status on the date of the encounter, which may be significantly different …

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The Impact and Challenges of Sequencing Z Codes for …

WEBZ45 Encounter for adjustment and management of implanted device. Z46 Encounter for fitting and adjustment of other devices Z47 Orthopedic aftercare. Z48 …

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Understanding the Global Obstetrical Package

WEBBroadly speaking, the global OB package covers routine maternity services, dividing the pregnancy into three stages: antepartum (also known as prenatal) care, …

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Ciox: Not a Bleach, But Not to Be Ignored

WEBCiox is a third-party healthcare data management company that collects risk adjustment data for commercial payers. While they are at the moment one of the most …

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Pre-Op Visits vs. Pre-Op Clearance Visits: Which are Billable

WEBCMS is clear that pre-op, whether an E/M visit or diagnostic test, first has to be done to “evaluate the patient’s RISK” for the procedure and then it has to be …

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DENIED! CO 22-This care may be covered by another payer, per

WEBIn circumstances where there is more than one potential payer, not submitting claims to the proper payer will lead to denial reason code CO-22, this care …

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