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An Official Publication of
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Coding

  • Article

    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...

  • Article

    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...

  • 1
    News

    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

  • 1
    News

    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.

  • News

    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

  • News

    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).

  • News

    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.

  • 1
    News

    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

  • News

    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).

  • News

    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.

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