Preview

CPT 99232: Evaluation And Management

Good Essays
Open Document
Open Document
694 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
CPT 99232: Evaluation And Management
CPT 99232 (Evaluation and management code) - Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically, 25 minutes are spent at the bedside and on the patient's hospital floor or unit.
http://www.findacode.com/code.php?set=CPT&c=99232
…show more content…
The physician’s consultation note includes the admission date (12/10/2013), the beneficiary’s present illness, past medical and social history, and review of acute symptoms and body systems. The documentation supports the performance of a detailed history and an expanded problem focused examination with medical decision making of moderate complexity.

The findings support performance of the subsequent hospital care level.

Federal Claims Collection Act of 1966

Internet Only Manual (IOM), Publication 100-06, Medicare Financial Management Manual, Chapter 3, Section 10

CMS Internet Only Manual (IOM) Publication 100-04 (Medicare Claims Processing Manual), Chapter 12, Section 30.6 (Evaluation and Management Service Codes 99201-99499)

Section 1862(a) (1) of the Social Security Act

Section 1833 (e) of the Social Security Act http://www.ssa.gov/OP_Home/ssact/title18/1833.htm Title 42 Code of Federal Regulations, Section 424.5(a) (6)
…show more content…
Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically, 25 minutes are spent at the bedside and on the patient's hospital floor or

You May Also Find These Documents Helpful

  • Powerful Essays

    Medicare Overview

    • 1393 Words
    • 6 Pages

    This paper is an overview of the Medicare system and how it works. The document is intended…

    • 1393 Words
    • 6 Pages
    Powerful Essays
  • Good Essays

    Ramona Strickland Case

    • 435 Words
    • 2 Pages

    Treatment Team Update – Felecia Arbuah, Director of Clinical Services, reported that Treatment team has improved. When completing the Master Treatment plan it is important that if charts are pulled the diagnosis has been entered so that the when the Master Treatment plan is being completed you know what the diagnosis is. In addition, the Clinicians have been told to prioritize the patients. Felecia Arbuah and Cathy Becker are still working with the teams to improve the process. Policy states that the clinician has 72 hours to perform the initial assessment of the patient. Example, if a patient comes in on Monday evening, treatment team is conducted Wednesday morning but the patient is not being seen. Doctor’s state 72 hours is too long to not see the patient. Felecia is going to see if nuisance can be added to the computer so Clinicians can review psychiatric evaluations instead of having to go through…

    • 435 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Julia Steel Case

    • 727 Words
    • 3 Pages

    Mrs. Julia Steel is a patient I have had the pleasure of meeting with recently. As discussed during the appointment, Mrs. Steel is a 72 year old retired, married woman. Collectively, Mrs. Steel's family history includes the following information: one son at the age of 40 who is being treated for high blood pressure, father's record showed background of heart disease and deceased at the age of 90 due to a brain aneurysm, mother's record provided extensive history with heart disease and deceased due to congestive heart failure at the age of 92, brother who passed at the age of 81 due to heart disease, sister at the age of 76 who has suffered multiple minor heart attacks. According to the biographical data collected, her family history exhibits a…

    • 727 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    When it comes to HIPAA, ICD, CPT, and HCPCS on how they influence each of the ten steps of the medical billing process, HIPAA influences the billing process by maintaining HIPAA compliance, as far as confidentiality and the handling of the medical record. When it comes to ICD, CPT, and HCPCS they influence the billing process they are the reference source where the codes are contained that are used to find the diagnosis, procedure, and the supply codes. But the HIPAA, ICD, CPT, and HCPCS they are all some kind of way related to have something to do with the billing process, but the ten steps during the process are…

    • 366 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Arf Case Study

    • 2509 Words
    • 11 Pages

    Laboratory results and vital signs were telephoned to her physician. Her physician order’s included the following:…

    • 2509 Words
    • 11 Pages
    Good Essays
  • Powerful Essays

    The purpose of this Memorandum is to acquire a better understanding of the responsibilities of Health and Human Services Centers for Medicare and Medicaid Services (the “Agency,” or “CMS”), Provider Reimbursement,1 and the Provider Reimbursement Review Board (the “PRRB” or “Board”). This memorandum focuses on (1) recent Medicaid and Medicare legislation; (2) the process of becoming a Provider;2 (3) the reconsideration process for prospective Providers; (4) the appellate review process of Provider reimbursement decisions; (5) the role of the PRRB; and (6) alternatives to administrative or appellate review of Provider reimbursement decisions.…

    • 4538 Words
    • 19 Pages
    Powerful Essays
  • Better Essays

    “The” central point” of medical services, and operations, is the “federal government’s” organization, the Centers for Medicare and Medicaid Services (CMS). This affiliation is a component of the Department of Health and Human Services (HHS). One of the priorities of CMS is to analyze efficiency, and productivity in assorted “health care management, treatment, and financing” functions. CMS guidelines are pivotal to success, and compliance in “health care” delivery, and billing. Carriers will usually alter their regulations to support that amended by Medicare. Another credit to CMS is the enforcement of “the most important recent…

    • 1235 Words
    • 5 Pages
    Better Essays
  • Satisfactory Essays

    For the Impression/Discussion, indicate the patient diagnosis and what the plan is for his or her. This includes…

    • 1113 Words
    • 5 Pages
    Satisfactory Essays
  • Good Essays

    Terri Schiavo Case

    • 913 Words
    • 4 Pages

    Therefore, one function of caregiver is to prevent and, if possible, end suffering. Hence, to achieve such a goal, actions involving assisted suicide and euthanasia would be permissible (Corr, 2013). Not to many of us, especially those who are younger, have a will or power of attorney. Living wills and advance directives are important components of patients’ medical records, which all too often do not indicate the appropriate palliative care measures the patient desires. A review of the current literature indicates that approximately 85% to 95% of the population does not have adequate advance directives or palliative care measures written in their medical record. Furthermore, these orders may not follow the patient when he or she is transferred to other facilities for intermittent care. Unwanted tracheal intubations can be both costly to the facility and distressing to the patient and family members. By instituting a change in policy, organizations can ensure that patients’ wishes for end-of-life care are met appropriately (Alfonso, 2009). It is very important to meet the needs of the patient as well as the family. However it can be troubling when the patient and family’s do not…

    • 913 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    A supportive environment; one that gives the patient a sense of security and empathy from their healthcare providers is an important step in decision making. Giving them the comfort to openly discuss their circumstances and sensitive subjects with you will help you better understand their reasoning behind their decisions. Appropriate decision partners such as other clinician departments may have to be including within you and your patients care plan. On my floor any member of the heath care team can request a to consult different departments that may be able to better assist the patient. If a patient has known or suspended mental health diagnosis, we consult behavioral health to send a clinician to see the patient and write up their recommendations…

    • 127 Words
    • 1 Page
    Satisfactory Essays
  • Better Essays

    Right to Discharge

    • 1065 Words
    • 5 Pages

    Hospitalization is usually a short term event. The discharge planning process often begins shortly after a patient is admitted to the hospital. Physicians, nurses, and case managers who played a role in caring for the patient during hospitalization are also involved in the planning process. This team of individuals collectively assesses the patient’s progress made during the hospital stay. At the top of the mind is the patient’s level of ability or functioning prior the hospital admission. And whether or not the patient will be able to return to this level and even return home. (Forster, 2003)…

    • 1065 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Gastrointestinal System

    • 1230 Words
    • 7 Pages

    CPT Code A 88304 (Current Procedure Terminology) – a set of codes that describes medical, surgical, and diagnostic services; Code A 883894 is the CPT code for surgical pathology, gross and microscopic examination…

    • 1230 Words
    • 7 Pages
    Good Essays
  • Good Essays

    In this meeting, I give examples of how the specialized training and resources of these individuals will improve patient care and ease the workload of other staff members. I foster an open discussion and encourage thoughts, feelings, and questions. I also state that if someone has a question or concern that they do not wish to discuss in front of everyone, they can speak to me in private.…

    • 885 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    OSHA

    • 14096 Words
    • 57 Pages

    Note 6. See the Employees’ Social Security Act 1969, Section 2(11). See also Chan Shick Chin, Personal Injury Law,…

    • 14096 Words
    • 57 Pages
    Powerful Essays
  • Powerful Essays

    Cssa

    • 11113 Words
    • 45 Pages

    Foreword Objective of the Comprehensive Social Security Assistance Scheme Eligibility Criteria Support for Self-reliance Scheme Application Procedures Notification of Result of Application and Payment Method Commencement Date of Assistance Types and Rates of Payment Disregarded Earnings Disregarded Training/Retraining Allowance Assessment of Assistance Permissible Limits of Absence from Hong Kong During Receipt of Assistance…

    • 11113 Words
    • 45 Pages
    Powerful Essays