subsequent nursing home visits

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Seven mistakes to avoid when billing for subsequent visits

Published in the September 2006 issue of Today’s Hospitalist

Related article: ICD-10 surprises in the hospital .

When it comes to billing for subsequent visits (CPT codes 99231-99233), many hospitalists make some relatively simple and “avoidable” mistakes.

Some errors stem from insufficient documentation and can lead to payments being denied or downcoded. Even worse, a pattern of picking the wrong subsequent visit codes may set you up for an audit.

Bill the highest subsequent visit level—99233—only for patients with a deteriorating condition. 

What to do? When billing for a subsequent hospital visit, you need to choose the appropriate level of service based on the patient’s condition and then make sure your documentation supports that choice. Here’s a list of what can go wrong “and some tips to help you avoid mistakes.

Picking the wrong code. One of the most common mistakes hospitalists make is billing for a higher level of subsequent visit than the documentation and service can support.

Bill the highest level “99233 “only for patients with a deteriorating condition, backed up by your diagnosis and documentation. If the patient is deteriorating, you need to say so clearly in your note.

A stable patient, even with multiple chronic conditions, does not qualify for a level 3 subsequent hospital visit. And if you can’t document at least one review of systems (ROS), the highest level of subsequent visit your documentation may support is a level 1 (99231).

“Clustering” subsequent visit codes. Another big mistake is using the wrong billing pattern.

Billing several level 3 (99233) visits in a row followed the next day by a discharge code, for example, could set you up for an audit. As noted above, only unstable patients meet 99233 criteria, and you wouldn’t expect those patients to be discharged the next day. (See “A scenario of subsequent visit codes” for a coding pattern that won’t set off auditor alarms.)

Skimping on history documentation. To bill a subsequent hospital visit, CPT guidelines require you to meet only two of three components: interval history, exam and decision-making.

But giving details in your history of how the patient is responding “such as “worsening,” “uncontrolled,” “stable” or “improving” “can be key indicators of the service level provided. You also need to document new complaints or symptoms to demonstrate decision-making complexity and to help support a higher level of service.

Not restating why you’re seeing the patient. You’ve seen the patient several times during her hospital stay, so you don’t need to keep documenting why you’re seeing the patient, right?

Unfortunately, that’s not the case. Even if your current note appears directly above your documentation for a previous date of service, you must state the reason why you are seeing the patient and the reason for the service to establish medical necessity. Unless the documentation for each date of service can stand alone and support the service billed, your bill for a subsequent visit may be denied.

Being too vague about follow-up. Another frequent documentation error: stating the reason for the visit is “follow-up,” without elaborating on what it is you’re following. Noting “follow-up” without documenting the patient’s specific condition could render the visit non-billable because, again, the medical necessity cannot be justified.

So don’t be vague. When following up on a patient, state “follow-up” and then the condition you’re monitoring, such as “follow-up CHF.”

Not referring specifically to a previous history. Coders or auditors can rely only on your documented notes for the date of service they are reviewing. But they can use history that you’ve previously documented “as long as you’ve specifically referenced the date the history was taken and given an update. A coder or auditor can then apply the previous history toward your level of history in the current note.

To avoid having to restate the previous note’s history, refer to that note directly. Acceptable versions include “history unchanged since [insert the date of the previous service note] or “[previous date of service] history reviewed, no changes except …”

Documenting “noted above” or “history unchanged” without specifically giving the previous note’s date won’t suffice. Another way to improve the quality of your documentation is by updating the ROS obtained when the patient was admitted, as in “ROS unchanged from [insert date of admission] admission note.”

Ignoring daily concurrent care. Concurrent care becomes a real medical necessity issue, especially when several physicians are rounding on the same patient.

Keep in mind that a subsequent hospital visit represents the services provided during an entire day–and that you can bill only one subsequent visit per day. Even if the physicians in your group bill more than one subsequent visit each day, only one subsequent visit bill will be paid.

Make sure your subsequent visit bill for any given date includes all the services rendered by providers of the same specialty within your group. Combine all visits during one calendar day and select the code that reflects the level of all the work provided.

Kristy Welker is an independent medical coding consultant based in San Diego. E-mail your documentation and coding questions to her at [email protected] . We’ll try to answer your questions in a future issue of Today’s Hospitalist.

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Billing discharge services

There are a host of changes that will affect family physicians, including new vaccine codes and bundled Medicare payments for chronic pain management.

KENT MOORE, EMILY HILL, PA, AND ERIN SOLIS

Fam Pract Manag. 2023;30(1):22-27

Author disclosures: no relevant financial relationships.

As the new year begins, it's time to get familiar with the 2023 changes to CPT coding, Medicare payment policies, and Medicare's Quality Payment Program (QPP). There are a host of coding changes, including substantial revisions to evaluation and management (E/M) services that occur in hospitals or nursing homes, and changes to how prolonged services can be reported. The most concerning Medicare payment policy is a reduction in the overall payment rate under the physician fee schedule, but it's not as large as it originally was slated to be. Medicare is also rolling out new bundled coding and payment options for chronic pain management and expanding the list of services that can be provided via telehealth. The changes to QPP are small this year, but noteworthy nonetheless. Now, let's get into the details.

In addition to significant changes to hospital and nursing home evaluation and management coding, 2023 brings several changes to vaccine administration and remote monitoring coding.

Medicare is cutting the amount it pays per relative value unit by 2%, revising certain telehealth policies, and creating bundled payments for chronic pain management.

Changes to the Quality Payment Program in 2023 are minimal.

There are changes to E/M coding on several fronts, as CPT follows up on the office and outpatient E/M visit reforms of 2021. 1

Hospital and nursing home visits . The most consequential changes to E/M coding this year come in hospital and nursing home settings, which have moved to the same code level selection criteria as office/outpatient E/M services. Physicians will now select codes for these services based on either their total time spent caring for the patient or their level of medical decision making (MDM). The same MDM table CPT used for office-based E/M codes will now be used for hospital and nursing home E/M services, with a few revisions from CPT: 2

Added “1 stable acute illness” and “1 acute, uncomplicated illness or injury requiring hospital inpatient or observation level of care” to the low-level MDM elements in the problems category,

Added decisions regarding the “escalation of hospital-level of care” and “parenteral controlled substances” to the high-level MDM elements in the risk category,

Added “multiple morbidities requiring intensive management” to the risk category, but this applies only to initial nursing facility visits.

Other CPT changes also impact how you will report these services. For 2023, CPT has done the following:

Consolidated hospital inpatient and observation codes into a single family of codes: 99221-99223 and 99231-99233,

Redefined the lowest level of emergency department codes (99281) to describe visits that do not require a physician or other qualified health care professional (much like office-visit code 99211),

Deleted the separate code for nursing home annual exams, which will now be coded as subsequent nursing home visits (99307-99310),

Consolidated the category “Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services” into a new category called “Home or Residence Services.”

For more on these changes, and how physicians can use them to code hospital and nursing home visits more quickly, see “ The 2023 Hospital and Nursing Home E/M Visit Coding Changes ."

Multiple E/M services on the same day . CPT has also revised its guidelines for hospital E/M to allow the reporting of multiple services when a patient is admitted to inpatient or observation status during a visit at another site of service (e.g., office or emergency department). The CPT guidelines advise clinicians to append modifier 25 to the initial service and then also report the hospital-based service (no modifier required on that). However, the Centers for Medicare & Medicaid Services (CMS) is retaining its policy that clinicians should only report one service (the hospital visit) per calendar date in these situations. It remains to be seen whether non-Medicare payers will follow CPT's guidance or Medicare's.

Prolonged services . CPT has deleted the codes for prolonged E/M services with direct patient contact in the office (99354-99355) and inpatient (99356-99357) settings. Physicians have been able to use code 99417 (in conjunction with 99205 or 99215) to report prolonged services in the office setting since the 2021 changes, and that will now be the only option there. Meanwhile, a new code, 99418, will be used for prolonged services in hospitals and nursing homes.

CPT guidance allows clinicians to report 99417 and 99418, along with a primary E/M code for the highest level of service in each setting, once they surpass the minimum time of the highest level of service by 15 minutes. But this is another area where CPT and Medicare differ. Medicare requires clinicians to surpass the maximum time of the highest E/M level by 15 minutes before reporting prolonged services codes. As such, CMS has developed its own HCPCS codes to report prolonged services to Medicare when those conditions are met:

G2212, prolonged services for office or other outpatient services,

G0316, prolonged services for inpatient and observation care services,

G0317, prolonged services for nursing facility services,

G0318, prolonged services for home/residence services.

CPT is maintaining two of its previous prolonged services codes — 99358 and 99359 — for reporting non-face-to-face services that occur on a different date than the face-to-face visit. But those codes are revised, with their headings changing from “Prolonged evaluation and management service before and/or after direct patient care” to “Prolonged service on date other than the face-to-face evaluation and management service without direct patient contact.”

OTHER CPT CHANGES

In addition to the E/M changes, there are a number of other CPT revisions family physicians may want to take note of.

Remote therapeutic monitoring (98975-98978) . CPT has revised the description for remote therapeutic monitoring code 98975 to accommodate the addition of a new CPT code, 98978, specifically for monitoring for cognitive behavioral therapy. (The description's parenthetical section now includes only “therapy adherence” and “therapy response.” References to respiratory and musculoskeletal systems have been removed.) As with remote monitoring codes 98976 and 98977, clinicians will use code 98978 once per 30-day monitoring period to report supplying the monitoring device to the patient for scheduled recordings and/or programmed alert transmissions.

CPT has also revised the introductory guidelines to the remote therapeutic monitoring section to recognize the new code and made changes to the introductory guidelines for remote therapeutic monitoring treatment management services to clarify the appropriate reporting of these services. There are no changes to the existing CPT codes 98980 and 98981 for remote therapeutic monitoring treatment/interactive communication.

Vaccine product and administration codes . CPT 2023 includes multiple new codes for COVID-19 vaccines and their administration. CPT also revised several codes to accommodate changes in patient ages as vaccine guidelines were updated. The codes are unique for each of the COVID-19 vaccines approved in the U.S., and administration codes are unique to each vaccine and dose. All COVID-19 vaccine codes and administration codes are listed in the vaccine section of CPT and in Appendix Q. 3

Other new vaccine codes this year include the following:

90584, “Dengue vaccine, quadrivalent, live, 2 dose schedule, for subcutaneous use,”

90678, “Respiratory syncytial virus vaccine, preF, subunit, bivalent, for intramuscular use.”

CPT has also revised code 90739 to read, “Hepatitis B vaccine (HepB), CpG-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use.” The American Medical Association maintains current information on all CPT vaccine codes on its website. 4

Suture and staple removal . CPT created two new codes for reporting removal of sutures and/or staples not requiring anesthesia. Code +15853 is for removing either sutures or staples without anesthesia, and code +15854 is for removing both sutures and staples without anesthesia. Both are add-on codes reported in addition to an E/M service (modifier 25 is not required on the E/M code when you report add-on codes).

Prior to 2023, CPT made a distinction between suture removal by the same physician who performed the primary procedure and suture removal by a different physician. However, CPT 2023 removed that language, and the suture-removal codes now can be reported by the physician who performed the primary procedure or another clinician.

MEDICARE PAYMENT POLICY CHANGES

CMS was slated to set the 2023 conversion factor (i.e., the amount Medicare pays per relative value unit [RVU] under its physician fee schedule) at $33.06 — about 4.5% lower than 2022. Most of that reduction was because a 3% increase in the 2022 conversion factor that Congress applied via legislation was due to expire. The remaining 1.5% reduction was due to budget neutrality adjustments that CMS must make to offset spending increases from regulatory changes that increase RVUs for some services, such as the hospital, nursing facility, and home E/M services. But Congress acted to reduce the cut, and just before the new year President Biden signed into law a budget bill with a 2% reduction instead. 

Here are other notable Medicare changes in 2023.

Chronic pain management and treatment bundles . CMS is implementing separate coding and payment for chronic pain management (CPM) services beginning Jan. 1, 2023. The agency will allow non-physician practitioners (e.g., nurse practitioners and physician assistants) to provide CPM and requires the initial visit to be face-to-face. CMS has created two HCPCS codes to report monthly CPM:

G3002, “Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan that includes strengths, goals, clinical needs, and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing e.g. physical therapy and occupational therapy, complementary and integrative approaches, and community-based care, as appropriate. Required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional, per calendar month. (When using G3002, 30 minutes must be met or exceeded.)”

G3003, “Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month (list separately in addition to code for G3002). (When using G3003, 15 minutes must be met or exceeded.)”

Telehealth . CMS greatly expanded the services that can be provided via telehealth in response to the COVID-19 public health emergency (PHE). This year we are getting a clearer picture of what Medicare telehealth services may look like after the PHE.

CMS has added some services to its official telehealth list 5 on a Category 3 (temporary) basis and some on a Category 1 (permanent) basis. Category 3 additions will be on the list through the end of 2023 or 151 days after the PHE ends, whichever is later. Several emotional/behavior assessment, psychological, and neuropsychological testing and evaluation services have been added to the list as Category 3 items. The newly finalized prolonged services codes G0316-G0318 and the chronic pain management codes G3002 and G3003 are on the list as Category 1 items.

CMS will also continue to allow audio-only (i.e., telephone) services to be billed as telehealth temporarily. But following the 151-day post-PHE extension period, CMS will once again assign the telephone E/M services (CPT codes 99441-99443) a “bundled” status, which means Medicare will no longer separately pay for them.

For allowable audio-only services, clinicians will have the option to append either Medicare modifier FQ, “Medicare telehealth service was furnished using audio-only communication technology,” or CPT modifier 93, “Synchronous telemedicine service rendered via telephone or other real-time interactive audio-only telecommunications system.” Clinicians will continue to use modifier FR on applicable claims when required to be present through an interactive real-time audio and video telecommunications link, as reflected in each service's requirements.

Until the end of 2023 or the end of the year in which the PHE ends (whichever comes later), clinicians should continue to append CPT modifier 95, “Synchronous telemedicine service rendered via a real-time interactive audio and video telecommunications system” and use the place of service (POS) code reflecting where the service would have been furnished had it been in-person. CMS will continue to pay at the rate corresponding to that POS, which will typically be the higher “non-facility” rate.

Other Medicare provisions of interest . CMS has updated Medicare Part B payments for administration of the influenza, pneumococcal, hepatitis B, and COVID-19 vaccines based on the annual increases to the Medicare Economic Index (MEI) and will geographically adjust the payments. The MEI is an index that measures changes in the market price of the inputs used to furnish physician services. The MEI update for 2023 is 3.8%.

CMS has reduced the minimum age for coverage of certain colorectal cancer screening tests from 50 to 45 years of age. CMS has also finalized expanded coverage of colorectal cancer screening to include a follow-on screening colonoscopy after a non-invasive stool-based test returns a positive result, thereby removing cost sharing for most beneficiaries.

QUALITY PAYMENT PROGRAM AND MEDICARE SHARED SAVINGS PROGRAM (MSSP)

Medicare's alternative payment programs are staying much the same this year, but there are a few changes to be aware of.

QPP . For the 2023 performance year, CMS is doing the following to QPP:

Implementing Merit-based Incentive Payment System (MIPS) Value Pathways (MVPs) as a new reporting option in MIPS. There will be 12 MVPs available for clinicians to report, including two focused on primary care: promoting wellness and optimizing chronic care.

Maintaining the performance threshold at 75 points. Eligible clinicians (ECs) will receive payment increases or reductions of up to 9% on their Medicare Part B claims, depending on how their performance compares to the threshold. There is no exceptional performer threshold in 2023.

Maintaining category weights at the same levels: 30% quality, 30% cost, 25% improvement activities, and 15% promoting interoperability.

In the MIPS quality category, CMS is doing the following:

Maintaining the quality data completeness criteria threshold at 70%. Beginning in 2023, the Web Interface is only available to MSSP accountable care organizations (ACOs) reporting using the Alternative Payment Model Performance Pathway.

Expanding the definition of a high-priority measure to include health equity-related quality measures.

Establishing a policy to score administrative claims measures against performance period benchmarks.

In the MIPS cost category, CMS is establishing a maximum cost improvement score of one percentage point. CMS began including improvement in the scoring of the cost performance category with the 2022 performance period.

In the MIPS improvement activities category, CMS made no changes except to update the inventory of activities.

In the MIPS promoting interoperability category, CMS is doing the following:

Discontinuing automatic reweighting for nurse practitioners, physician assistants, certified registered nurse anesthetists, and clinical nurse specialists. CMS will continue to apply automatic reweighting for certain clinicians, including those in small practices.

Modifying the options for active engagement for the Public Health and Clinical Data Exchange Objective measures. ECs will have two options: “pre-production and validation” and “validated data production.” ECs will attest yes or no and submit their level of active engagement. ECs can also only spend one performance period at the “pre-production and validation” level.

Requiring the Query of Prescription Drug Monitoring Program measure, which is worth 10 points, with exclusions available. In addition to including schedule II drugs, CMS is expanding the measure to include schedule III and IV drugs.

Adding a third option to satisfy the Health Information Exchange objective: “Participation in the Trusted Exchange Framework and Common Agreement (TEFCA).”

MSSP . CMS made more substantial changes to the MSSP (none of these changes apply to the ACO REACH model, which is a separate program). The changes include the following:

Providing Advance Investment Payments (AIPs) to new entrants inexperienced with performance-based risk. AIPs will be a one-time payment of $250,000 and eight quarterly payments based on the number of beneficiaries assigned to the ACO. CMS will recoup the AIP from any shared savings earned by the ACO in its current agreement period.

Allowing ACOs inexperienced with performance-based risk to remain in the Basic track level A for all five years of the agreement period.

Making the Enhanced track optional for everyone.

Reinstating a sliding scale to determine shared savings for ACOs that failed to meet the criteria under the quality performance standard to qualify for the maximum shared savings rate. CMS will use a similar policy to determine an ACO's shared loss rate in the Enhanced track for ACOs that exceed the maximum loss rate. To qualify for the sliding scale, the ACO must achieve a score in the 10th percentile or higher for at least one of the four outcome measures in the APM Performance Pathway.

Establishing a health equity adjustment of up to 10 bonus points applied to MIPS quality performance scores for ACOs that report the three electronic clinical quality measures or MIPS clinical quality measures.

Updating the benchmarking methodology to include an administrative growth factor, reinstituting an adjustment for prior savings, and reducing the cap on negative regional adjustments.

Allowing certain ACOs in the basic track that do not meet the minimum shared savings rate to qualify for shared savings if the ACO meets the quality standard (including the alternative standard).

A PLACE TO START

These are not all the updates to the Medicare physician fee schedule, QPP, or CPT codes for 2023. But this is a high-level list of the most important changes family physicians need to know about as the year begins. As always, how individual payers approach these coding and payment changes may vary, so you're advised to consult with those in your area to find out how they will handle them.

Millette KW. Countdown to the E/M coding changes. Fam Pract Manag . 2020;27(5):29-36.

CPT evaluation and management (E/M) code and guideline changes. American Medical Association. Accessed Nov. 29, 2022. https://www.ama-assn.org/system/files/2023-e-m-descriptors-guidelines.pdf

Appendix Q: severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccines. American Medical Association. Accessed Dec. 2, 2022. https://www.ama-assn.org/system/files/covid-19-immunizations-appendix-q-table.pdf

Category I vaccine codes. American Medical Association. Updated Nov. 16, 2022. Accessed Dec. 2, 2022. https://www.ama-assn.org/practice-management/cpt/category-i-vaccine-codes

List of telehealth services. Centers for Medicare & Medicaid Services. Updated Nov. 2, 2022. Accessed Dec. 2, 2022. https://www.cms.gov/medicare/medicare-general-information/telehealth/telehealth-codes

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The Unique Burial of a Child of Early Scythian Time at the Cemetery of Saryg-Bulun (Tuva)

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Pages:  379-406

In 1988, the Tuvan Archaeological Expedition (led by M. E. Kilunovskaya and V. A. Semenov) discovered a unique burial of the early Iron Age at Saryg-Bulun in Central Tuva. There are two burial mounds of the Aldy-Bel culture dated by 7th century BC. Within the barrows, which adjoined one another, forming a figure-of-eight, there were discovered 7 burials, from which a representative collection of artifacts was recovered. Burial 5 was the most unique, it was found in a coffin made of a larch trunk, with a tightly closed lid. Due to the preservative properties of larch and lack of air access, the coffin contained a well-preserved mummy of a child with an accompanying set of grave goods. The interred individual retained the skin on his face and had a leather headdress painted with red pigment and a coat, sewn from jerboa fur. The coat was belted with a leather belt with bronze ornaments and buckles. Besides that, a leather quiver with arrows with the shafts decorated with painted ornaments, fully preserved battle pick and a bow were buried in the coffin. Unexpectedly, the full-genomic analysis, showed that the individual was female. This fact opens a new aspect in the study of the social history of the Scythian society and perhaps brings us back to the myth of the Amazons, discussed by Herodotus. Of course, this discovery is unique in its preservation for the Scythian culture of Tuva and requires careful study and conservation.

Keywords: Tuva, Early Iron Age, early Scythian period, Aldy-Bel culture, barrow, burial in the coffin, mummy, full genome sequencing, aDNA

Information about authors: Marina Kilunovskaya (Saint Petersburg, Russian Federation). Candidate of Historical Sciences. Institute for the History of Material Culture of the Russian Academy of Sciences. Dvortsovaya Emb., 18, Saint Petersburg, 191186, Russian Federation E-mail: [email protected] Vladimir Semenov (Saint Petersburg, Russian Federation). Candidate of Historical Sciences. Institute for the History of Material Culture of the Russian Academy of Sciences. Dvortsovaya Emb., 18, Saint Petersburg, 191186, Russian Federation E-mail: [email protected] Varvara Busova  (Moscow, Russian Federation).  (Saint Petersburg, Russian Federation). Institute for the History of Material Culture of the Russian Academy of Sciences.  Dvortsovaya Emb., 18, Saint Petersburg, 191186, Russian Federation E-mail:  [email protected] Kharis Mustafin  (Moscow, Russian Federation). Candidate of Technical Sciences. Moscow Institute of Physics and Technology.  Institutsky Lane, 9, Dolgoprudny, 141701, Moscow Oblast, Russian Federation E-mail:  [email protected] Irina Alborova  (Moscow, Russian Federation). Candidate of Biological Sciences. Moscow Institute of Physics and Technology.  Institutsky Lane, 9, Dolgoprudny, 141701, Moscow Oblast, Russian Federation E-mail:  [email protected] Alina Matzvai  (Moscow, Russian Federation). Moscow Institute of Physics and Technology.  Institutsky Lane, 9, Dolgoprudny, 141701, Moscow Oblast, Russian Federation E-mail:  [email protected]

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