Billing Brilliance: How PM&R Physicians Can Navigate Inpatient Billing Changes with Ease-Billing Brilliance: How PM&R Physicians Can Navigate Inpatient Billing Changes with Ease (enduring)

Video Transcription

Video Summary

In this video presentation, the speaker discusses the changes in evaluation management coding for 2023 in the inpatient rehabilitation and nursing facility settings. They explain the new guidelines set by the American Medical Association (AMA) for selecting evaluation management codes, focusing on medical decision making, data, and risk. The importance of documenting history, exam, severity of chronic conditions, and risk assessment is emphasized. Examples of different complexity levels and code selection components are provided. <br /><br />The presenter also discusses the proper documentation of prescription drug management, highlighting the need to evaluate medication appropriateness and take necessary actions. Clear and detailed documentation of the patient's condition, potential adverse effects, and benefits of medications is essential. <br /><br />Time-based coding is also addressed, with the importance of accurate documentation of time spent on patient care activities emphasized. It should include both face-to-face and non-face-to-face interactions related to the patient's care but exclude separately billable services. Specific documentation to support the reported time is crucial.<br /><br />The video also addresses questions regarding credit for reviewing data from other rehab team members and the use of time-based coding for co-management with internal medicine. The recommendation is to document discussions and conversations with other team members, but further research may be needed for specific coding guidelines.<br /><br />In summary, this presentation provides an overview of the changes in evaluation management coding for 2023, offering guidance on documenting prescription drug management, time-based coding, and the importance of clear and accurate documentation to support appropriate coding and billing.

Keywords

evaluation management coding

2023

inpatient rehabilitation

nursing facility settings

American Medical Association

AMA

medical decision making

data

risk

prescription drug management

time-based coding