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Compliance Office

URMC  » Compliance Office » Education and Tools » Compliance Office
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Integrity Matters. University of Rochester Medical Center Compliance Office

Compliance Office Documents and Tools

Evaluation and Management (E & M) Coding

E&M Documentation Cards

E&M Documentation Tips

E&M Elements

Modifiers

  • -22, increased procedural service
  • -25, significant, separately identified E&M service
  • -51, multiple procedures
  • -57, decision for surgery
  • -59, distinct procedural service

Time Based Codes - Counseling and Coordination of Care

Table of Risk

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Compliance Tips

Compliance Office Billing Audit Form

Government Investigations and Searches

Laboratory Ordering and Coding Guidelines

Medical Necessity Documentation

Your Role in Compliance

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Medicare and Medicaid

Ambulatory Patient Groups (APGs) - New York State Medicaid

Medicare Annual Wellness Visits

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Specialties

Psychiatry

Psychiatric CPT Codes

Psychiatric Services Documentation Requirements

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Surgery

Global Postoperative Visits - 99024

Global Surgical Package

Modifiers

  • -22, increased procedural service
  • -25, significant, separately identified E&M Services
  • -51, multiple procedures
  • -54 surgical care only
  • -55 post-operative management only
  • -57, decision for surgery
  • -59, distinct procedural service
  • -62, co-surgery
  • -79, unrelated procedure/service by the same physician during the post-operative period

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Teaching Physician

Teaching Physician Guidelines for E&M Services

  • Teaching Physician Guidelines for Surgical Procedures
  • Teaching Physician Documentation for Procedures - Grid

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Contents

E&M Coding

Compliance Tips

Medicare and Medicaid

Specialties

Teaching Physician

 


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