2024 Gastroenterology Reimbursement and Coding Update | November 2023-14 - The Other E and M We Do But Commonly Forget to Bill For

14 - The Other E and M We Do But Commonly Forget to Bill For_Littenberg

Pdf Summary

In this document, Dr. Glenn Littenberg discusses the importance of billing for certain services that are commonly forgotten or overlooked in the field of gastroenterology. He begins by addressing the decrease in reimbursement rates for medical providers, emphasizing the need to maximize billing opportunities. He then highlights the various "other" services that can contribute to professional fees, including transitional care services, portal services, chronic care management, home health certification, and care plan oversight. Dr. Littenberg also mentions additional cash services such as admin fees, prep kit sales, and non-covered breath tests. <br /><br />The document also covers the coding guidelines for telephone E/M (evaluation and management) and online digital E/M services during the COVID-19 pandemic. Dr. Littenberg explains the Medicare rules for reporting these services, including the need for patient initiation and secure platforms. He provides clinical cases as examples and lists the corresponding CPT codes and payment rates.<br /><br />Additionally, Dr. Littenberg discusses virtual check-ins and eConsultations as other options for providing care remotely. He explains the rules and codes for reporting these services and provides examples of clinical cases.<br /><br />Finally, Dr. Littenberg concludes with a call for advocacy in establishing telehealth services permanently beyond the pandemic and ensuring payment parity for telehealth visits.<br /><br />Throughout the document, Dr. Littenberg provides various resources for further information and addresses any questions that readers may have.

Keywords

billing

gastroenterology

reimbursement rates

transitional care services

chronic care management

coding guidelines

COVID-19 pandemic

telehealth services

payment parity

advocacy