E/M Coding Changes for 2023
December 13, 2022
The last time that evaluation and management (E/M) coding guidelines were significantly overhauled was in 1995 and 1997. To put that timeframe in context? Hospitalist was a term coined in a 1996 New...
Tips for Properly Documenting and Coding HF
December 1, 2022
As hospitalists, we encounter heart failure (HF) regularly, but we have all seen it documented in a variety of ways (congestive HF (CHF), acute on chronic HF, heart failure with preserved ejection...
Everything You Need to Know About the Bundled Payments for Care Improvement Initiative
November 9, 2016
BPCI might be a game-changer for HM because it’s the first of the bundled-payment initiatives that truly falls direct to the care provided by hospitalists
Dr. Hospitalist: Improper, Aggressive Billing Raises Ethical, Legal Concerns
May 21, 2016
Dear Dr. Hospitalist: I am a seasoned hospitalist at a large academic medical center in the Northeast and have recently become more bothered by how our group is being coerced to aggressively bill for our services.
New Hospitalist Billing Code Should Benefit Hospitalists, Patients
May 5, 2016
The Centers for Medicare & Medicaid Services (CMS) recently announced that within the year hospitalists will be assigned their own specialty designation code. [caption id="attachment_14677" align="alignright" width="300"] Illustration/Paul Juestrich; Photos Shuttershock.com[/caption] Up to
HM16 Session Analysis: Maximizing Collaboration With PAs & NPs: Rules, Realities, Reimbursement
March 9, 2016
Presenter: Tricia Marriott, PA-C, MPAS, MJ Health Law Summary: Ms. Marriott brought humor to a detailed #HospMed16 presentation on the rules of reimbursement and Medicare requirements for physician assistants (PAs) and nurse practitioners (NPs).
HM16 Session Analysis: ICD-10 Coding Tips
March 7, 2016
Presenter: Aziz Ansari, DO, FHM Summary: With the implementation of ICD-10, correct and specific documentation to ensure proper patient diagnosis categorization has become increasingly important.
Key Elements of Critical Care
February 29, 2016
Code 99291 is used for critical care, evaluation, and management of the critically ill or critically injured patient, first 30–74 minutes.1 It is to be reported only once per day per physician or group member of the same specialty. [caption id="attachment_13454" align="alignright" width="300"] Im
Medicare Grants Billing Code for Hospitalists
February 26, 2016
PHILADELPHIA—The Society of Hospital Medicine (SHM) is pleased to announce the introduction of a dedicated billing code for hospitalists by the Centers for Medicare & Medicaid Services (CMS).
ICD-10 Flexibility Helps Transition to New Coding Systems, Principles, Payer Policy Requirements
December 1, 2015
Effective October 1, providers submit claims with ICD-10-CM codes. As they adapt to this new system, physicians, clinical staff, and billers should be relying on feedback from each other to achieve a successful transition.