More Documentation and Coding Resources

keywords: documentation, charting, coding, CPT, E/M, and modifiers, licensed acupuncturist, east Asian medicine practitioners, integrative health

Here are some new resources for reviewing documentation and coding standards in the profession

Documentation and Coding Review Video with Sam Collins, DC of the American Acupuncture Council Information Network, dated May 15th, 2019:

• Link to YouTube Video (14 minutes):

Coding and Use of Modifiers with Evaluation and Management (E/M) codes

• Article by Sam Collins, DC in the May 2019 edition of Acupuncture Today, volume 20, issue 05.  "The Most Common Modifier for Acupuncture Claims".
• Summary of content: 
• An insurance company can deny a claim if you do not code your work to their standard. The common denial issue he discusses in this issue is choosing and using the correct modifier with your E/M code.
• Types of modifiers he covers in this article include: level 1 modifiers, modifier 25, and modifier 59.  There is also the special case GP modifier that is common in the VHA program that covers acupuncture services by some vetted community providers, "Veterans Choice".
• source: article by Sam Collins, DC in the May 2019 edition of Acupuncture Today, volume 20, issue 05.  "The Most Common Modifier for Acupuncture Claims". Link to the digital edition of this article. And the webpage version of the article on Acupuncture Today.

Related Blogposts on Documentation include

• Peer Record Review
• Physical Exam Training for Acupuncturists
• Prescribing in the Hospital Setting: pharmaceuticals, medication review, nutraceuticals, self-care
• The Medication Review and Calculating Morphine Equivalent Dose
• Professional Practice: Discerning Medication Side Effects from Symptoms and Signs
• The Pain Scale in Your Chart Note: Using a Validated Tool
• From the NAM Clinician Well-Being Series, see their resource, Care-Centered Documentation in the Digital (EHR) Environment: Solutions to Alleviate Burnout
• The EHR use Community Survey and SAR 2019 conference prequel
• HIPAA
• Acupuncturists are healthcare professionals, Licensed Independent Practitioners
• Gale M, Hospital Practice: Recognition of Acupuncturist as a Licensed Independent Practitioner (LIP). Meridians: JAOM, 2016 3(4): 11-16, 41. open access article.

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