Billing and Coding

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https://www.pamedsoc.org/tools-you-can-use/topics/billing-and-coding/Home:Tools You Can Use:Topics:Billing and Coding<p>From ICD-10 to wellness visits, PAMED's Practice Support Team saves your practice time and money with the latest information on billing and coding issues.</p>

General

​PAMED's Practice Support Team saves you time and money with the latest information on billing and coding issues.

Chronic Care Management

​The Centers for Medicare & Medicaid Services (CMS) began paying monthly reimbursements for chronic care coordination services on January 1, 2015. PAMED's Practice Support Team keeps you updated on the latest updates to billing policies regarding chronic care management.

ICD-10

Are you overwhelmed by the number of ICD-10 codes? PAMED education and resources can save you time.

Incident To

​Incident To billing is a way of billing outpatient services provided by a non-physician practitioner (NPP) such as a nurse practitioner (NP), physician assistant (PA), or other non-physician provider. PAMED's Practice Support Team keeps you updated on the latest updates to billing policies regarding Incident To billing.

Modifiers

​A Modifier amends a service under certain circumstances for appropriate reimbursement for health care services provided to a patient. Modifiers may add information or change the description according to the physician documentation to give more specificity for the service or procedure rendered. PAMED's Practice Support Team answers member questions about a range of billing and coding questions.

Transitional Care Management

​Transitional Care Management includes services provided to a patient whose medical care requires moderate or high-complexity medical decision making during transitions in care from an inpatient hospital setting, partial hospital, observation status in a hospital, or skilled nursing facility/nursing facility, to the patient's community setting. PAMED's Practice Support Team keeps you updated on the latest updates to billing policies regarding Transitional Care Management.

Wellness Visits

​The Annual Wellness Visit (AWV) is covered once every 12 months either after the first 12 months following enrollment, after their Initial Preventive Physical Exam visit, or after their previous AWV.