Providers must document the complexity of care for each and every patient. There is a standard misunderstanding of the utilization of time-based documentation and billing. Clearly, over time, many opinions and interpretations of ambiguous guidelines have clouded this topic, and it is time that we get back to the basics…
Guidance on a common unbundling modifier has shifted frequently during the last decade. Anthem Blue Cross Blue Shield (BCBS) were set to implement a new processing edit with regard to the use of Modifier 25, effective March 1, 2018, but things didn’t go as planned. Anthem instead submitted a letter…
How many of us remember the 90010? That was an evaluation and management (E&M) code in 1991, prior to the revision that still haunts us today. Back then, in the good old days, E&M codes were qualitative in nature, meaning that their use was based on physicians’ interpretation of the…