Tag: Jeffrey D. Lehrman

Transforming Your Practice, Outcomes, and Productivity With Real-time Fluorescence Imaging of Wound Bacteria

presented by Thomas E Serena, MD, FACS, MAPWCA, FACHM and Jeffrey D Lehrman, DPM, FASPS, MAPWCA, CPC, CPMA

 

This webinar will focus on “Keys to Success” for all qualified healthcare professionals who are using, or considering adopting, point-of-care fluorescence imaging of wound bacterial presence, location, and load. Dr Thomas Serena will focus on the clinical impact the fluorescence imaging procedure is having on getting ahead of infection, wound outcomes, and timing of CTP placements. Dr Jeffrey Lehrman will discuss appropriate CPT coding for this procedure and documentation tips to support how and why this procedure is performed on a given patient, as well as the imaging findings … learn more

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Keys To Coding When You Are Seeing Patients In Nursing Facilities

The CPT codes 99304–99306 cover initial nursing facility care. Yes, podiatrists can absolutely submit initial nursing facility evaluation and management (E/M) codes for Medicare patients.

 

Medicare does not recognize consultation codes. When Medicare stopped recognizing consultation codes on January 1, 2010, it then instructed specialists, including podiatrists, to use the initial nursing facility codes when seeing a nursing facility patient for the first time during that patient’s admission. Podiatrists should use initial nursing facility codes if that encounter qualified for what the facility would consider a “consult” and even if the specialist was not the admitting/primary doctor. Since there are now multiple doctors using those initial encounter codes, the admitting/primary doctor must use an “AI” modifier on the initial E/M encounter.

 

This change did not alter the fact that in order to submit any E/M code, one must meet the thresholds of complexity for that code. Complexity refers to the key elements of E/M coding (history, exam, decision making) in what you performed, what you documented and what was medically necessary … read more