2022 Gastroenterology Reimbursement and Coding Update: Concrete Solutions to Strengthen Your Foundation in GI Coding and Billing | November 2021-12 - E&M We Do Commonly Forget to Bill For What not to Forget in 2022

12 - E&M We Do Commonly Forget to Bill For What not to Forget in 2022_ Littenberg rv

Pdf Summary

The document discusses various coding and billing considerations for healthcare providers in 2022. It highlights the potential challenges providers may face due to payment cuts from expiring policies and tighter MIPS requirements. The document emphasizes the importance of not forgetting to bill for certain "interstitial" services that are often overlooked, such as transitional care services, chronic care management, and home health certification. Other revenue sources that can contribute to professional fees include admin fees, prep kit sales, supplements, non-covered breath tests, nutrition services, and integrative health practices.<br /><br />The document provides information on different codes and their descriptors for various virtual services, including telephone E/M, online digital E/M, virtual check-ins, and eConsultations. It outlines Medicare rules for each service and highlights the importance of obtaining patient consent and documenting the communication in the patient's medical record. The document also includes payment comparisons for different E/M services.<br /><br />In terms of advocacy, the document calls for permanently establishing telehealth services approved during the COVID-19 pandemic and expanding telehealth services beyond the public health emergency. It also urges parity in payment for video and audio-only telehealth services compared to in-person E/M visits.<br /><br />The document provides resources for further information and encourages providers to advocate for extending payment adjustments and waiving sequestration rules.<br /><br />Overall, the document highlights the importance of being aware of coding and billing opportunities and advocating for fair payment policies in order to navigate the challenges faced by healthcare providers in 2022.

Keywords

coding and billing considerations

healthcare providers

2022

payment cuts

MIPS requirements

interstitial services

transitional care services

virtual services

telehealth services

payment adjustments