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2021 E/M Guidelines Take Effect

2021 E/M Guidelines Take Effect

by Mario Fucinari DC, CIC, CPCO, CPPM

 

Since the initial evaluation and management (E/M) guidelines were released in 1995 and again in 1997, there has been controversy. The American Medical Association and the Centers for Medicare and Medicaid Services have joined together to arrive at a consensus that will reshape evaluation and management (E/M) guidelines for years to come.
In the outpatient evaluation and management codes' reorganization, the framers had a common goal; to reduce documentation and coding burden. The committees hope that the necessity for audits will be reduced by adding more detail to the CPT codes. The E/M coding will be consistent, thus decreasing ambiguity, errors, and needless future revisions.

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Denial of Re-Exams or Established Patient Care

Denial of Re-Exams or Established Patient Care

Many Chiropractic Physicians across Missouri have been contacting the MCPA about insurance companies denying re-exams or established patient exams. The MCPA Insurance Committee met with Anthem last week to discuss the issue.

If your exams are denied, we recommend sending in your records to the insurance company to prove that a separate and identifiable service was performed. The insurance companies are reviewing these records and paying on them after the records are sent showing that the service was done.

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New Medicare Card: MBI Transition Ends in Less Than 10 Weeks

New Medicare Card: MBI Transition Ends in Less Than 10 Weeks

The 21 month Medicare Beneficiary Identifier (MBI) transition period ends on December 31, 2019. Are you ready?

Starting January 1, 2020, you must use the MBI when billing Medicare regardless of the date of service:

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