Site Tools


billing

Differences

This shows you the differences between two versions of the page.

Link to this comparison view

Both sides previous revisionPrevious revision
Next revision
Previous revision
billing [2024/01/02 12:43] – [Definitions] adminbilling [2024/01/03 13:22] (current) – [Inpatient Floor or Consult Billing] admin
Line 7: Line 7:
   * Home or Residence Services   * Home or Residence Services
  
-==== Definitions==== +===== MDM Levels===== 
-===New Patient === + 
-**new patient** is one who has not received any professional services from the physician or other qualified health care professional or another physician or other qualified health care professional **(1)** of the exact same specialty and subspecialty who **(2)** belongs to the same group practice, **(3)** within the past three years.+==== Inpatient Floor or Consult Billing ==== 
 +=== Initial Encounter === 
 +^ Code   ^ Requirements, MDM                 ^ Requirements, Time                    ^ 
 +^ 99221  | straightforward or low level MDM  | if using time, must be >= 40 minutes 
 +^ 99222  | moderate level MDM                | if using time, must be >= 55 minutes 
 +^ 99223  | High level MDM                    | if using time, must be >= 75 minutes 
 + 
 +=== Subsequent Encounter === 
 +^ Code   ^ Requirements, MDM                 ^ Requirements, Time                    ^ 
 +^ 99231  | straightforward or low level MDM  | if using time, must be >= 25 minutes 
 +^ 99232  | moderate level MDM                | if using time, must be >= 35 minutes 
 +^ 99233  | High level MDM                    | if using time, must be >= 50 minutes 
 + 
 +===== Definitions===== 
 +====New Patient ==== 
 +A new patient is one who has not received any professional services from the physician or other qualified health care professional or another physician or other qualified health care professional  
 +  - of the exact same specialty and subspecialty who  
 +  - belongs to the same group practice 
 +  - within the past three years.
 =====Tables ===== =====Tables =====
  
billing.1704199404.txt.gz · Last modified: 2024/01/02 12:43 by admin