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