Pain Management During COVID-19

It is not breaking news that COVID-19 is affecting every aspect of society and our overall health. In an August 14, 2020 release from the American Medical Association (AMA), the under-reported issue of opioid-related overdoses is discussed. Read below to find out more. According to this brief, “More than 40 states have reported increases in…

Back to School With COVID-19

With COVID-19 being a huge concern when considering sending your kids back to school, educational facilities are advised to be extra diligent in their cleaning, disinfecting, and social distancing procedures. Still though, sending your child to school during a pandemic can cause your stress levels to increase. Take a look at the articles provided below…

Spinal Decompression

The report below describes a patient undergoing spinal surgery. The entire procedure has been documented in detail, describing the step by step process used by doctors to carry out the surgery. Keep reading for more on how this procedure was performed. Do you have a complicated surgery case that needs help with coding? RT Welter…

Medical Necessity in E/M

As we move closer to 2021 and our new E/M guidelines, now is the perfect time to educate our clinicians on the importance of documenting their encounters to include medical necessity. In the January 2020 issue of CMS MLN on Evaluation & Management under the General Principles of E/M Documentation, we see this guidance; Clear…

Annual Preventive Visit w/ Illness Not Supported

Comprehensive, age-appropriate HPI & Exam support 99396 for preventive reevaluation & management of 1 established chronic problem. OMM of 1 body area is performed supporting code 98925. Questionable use of dx code Z12.4. Consider Z01.419 or Z00.00. Unsupported 99213, documentation does not support a separately identifiable E/M illness code. Possible use of code Q0091 for…