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Tool of the Month

Image copyright DecisionHealthDownload this month's tool -- a spreadsheet showing time thresholds for base E/M codes and prolonged service codes -- to help you capture extra revenue from time-consuming, counseling-dominated encounters. You can use the time thresholds to determine whether you can bill a prolonged service code (99354-99359) or whether a standalone base E/M code must be billed, based on typical time as defined by CPT.


Download this month's tool -- a labeled template of a successful appeals letter -- to help you quickly turn around denied claims, especially denials that were caused by simple mistakes. You can use the format of this appeal letter to develop your own variation that accounts for your specific specialty, denials and patient cases.

Download this month’s tool – a Pre-authorization and Patient Coverage Verification Form– to help you prevent claims denials  for pre-certified services by collecting as much of the patient's carrier information upfront and avoiding complications down the line.
The form is available exclusively to Part B News subscribers for free. Subscribers have permission to download the form and use it at their practice or office. Download this file by clicking the “Download File” link found at the top of this article at www.partbnews.com.

Download this month’s tool – the Primary Care Incentive Program Payment Calculator, created by Part B News – to help you determine whether your providers are eligible for PCIP money. If they are, the tool also helps you estimate how much incentive cash they can expect quarterly from Medicare.


Download this month’s tool – an Electronic Health Record Preparedness Assessment created by the California HealthCare Foundation – to help you estimate how much work awaits you in the EHR implementation process. This tool is widely used by technology consultants to gauge the readiness of a wide variety of practices to adopt an EHR system.

This tool is the Patient Medication List Spreadsheet, brought to you by DecisionHealth Professional Services. It will help you ensure that your physicians are able to see a current and accurate list of the prescription medications, as well as over the counter medicine and supplements being taken by patients.
Download this month’s tool – a Medical Decision Making Spreadsheet brought to you by DecisionHealth Professional Services – to help you accurately determine the correct level of the complexity of the medical decision for an E/M service. 
Download this month’s tool – a Covered Preventive Services Table – to help you, your front desk staff and billers keep track of the preventive services subject, and not subject, to patient fees.

Download the December Tool of the Month to help you determine how your claims stack up against 1995 and 1997 E/M guidelines (see story).


Download this month's tool - an Annual Wellness Visit Encounter Form brought to you by DecisionHealth Professional Services - to help you efficiently provide Medicare's new annual wellness visit service. 


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