Teaching Physician, EM Documentation
Lack of a teaching physician statement in a patient’s record can lead to denied services. Minimum Requirements A teaching physician’s statement must explain who rendered the service as [...]
Inpatient Hospital Care
Medical necessity of inpatient care is determined by a combination of factors including the physician’s assessment of the patient’s history and physical, commonly referred to as the H&P, as well as the review [...]
A Quick Guide to MIPS in 2018: 5 Things You Should Know
The Merit-Based Incentive Payment System, MIPS, seems to be the new buzz word in every doctor’s office. Everyone is asking questions about MIPS: What is MIPS? How will [...]
The Elements of Critical Care
Specific requirements must be met for treatment to be considered critical. There are two critical care care CPT codes, 99291 and 99292. 99291: 30-74 minutes of critical care [...]
ABA Services
Autism, a neurodevelopmental disorder, is a complex disability affecting 1 in 68 children. It is now common for those diagnosed to follow a treatment plan. Some insurance policies require [...]
Monthly Capitation Payment (MCP)
A capitation payment is a fee or payment of a uniform amount per each person. In regards to nephrology groups, Medicare’s monthly capitation payment is paid to physicians and [...]