Are you properly documenting your patient exams?
99202-99215 Evaluation & Management code selection levels are now based on Total Time or level of Medical Decision Making (MDM).
Welcome to your billing and coding weekly solutions by H. J. Ross Company where getting your bills paid is what we do best!
Are you properly documenting your patient exams?
99202-99215 Evaluation & Management code selection levels are now based on Total Time or level of Medical Decision Making (MDM).
Total Time is the time spent on the patient examined. This is time spent by the provider on the day of visit face-to-face and non-face-to-face (before and after visit related to your patient’s exam).
Note: Each code specifies how much time on the date of the encounter.
Medical Decision Making includes 4 levels:
1. 99202/99212: Straightforward (1 self-limited or minor problem)
2. 99203/99213: Low (2 or more self-limited or minor problems)
3. 99204/99214: Moderate (1 acute complicated injury)
4. 99205/99215: High (serious high risk and very rare for chiropractor)
It is important when choosing your E & M code that it fits best whether ‘time’ becomes the driving force or Medical Decision Making.
Remember, H. J. Ross Company understands billing with incorrect chiropractic CPT codes can lead to claim rejections and delays in payments, which can have a devastating impact on generating revenue and keeping you in business.
If you are experiencing insurance claim denial, staff spending too much time trying to get claims paid, and patients asking why their claims have not been paid then H. J. Ross Company is your solution.
H. J. Ross Company stays ahead of the curve on the latest trends and changes in billing and coding by utilizing their direct channel of communication with the insurance companies and organizations that set the guidelines.
There is a reason chiropractors have trusted H. J. Ross Company with their business for over 40 years.
