Code EMR

10/23/2025

💡 Did you know?

Community Health Centers (CHCs) and Federally Qualified Health Centers (FQHCs) face some of the most complex coding and reimbursement challenges in healthcare.

From encounter-based PPS billing and preventive care visits to behavioral health and telehealth coding - accuracy isn’t just important, it’s essential for financial sustainability.

In our latest blog, we explore how CodeEMR’s specialized CHC & FQHC coding support helps centers:

✅ Reduce denials and accelerate reimbursements
✅ Maintain PPS and compliance accuracy
✅ Scale operations without increasing overhead
✅ Refocus staff time on patient care, not paperwork

Read how expert coding can strengthen mission-driven healthcare ⬇️

👉 https://www.codeemr.com/coding-support-for-chcs-and-fqhcs/

Improve coding accuracy and compliance for CHCs and FQHCs with CodeEMR’s experts. Streamline workflows, reduce claim denials, and maximize healthcare revenue.

10/20/2025

Coding tip Week 16: Telephone Visits: When you can (and Can’t) Bill for Them

Telephone visits can be a valuable way to connect with patients, especially when an in-person appointment isn’t necessary. But not every call qualifies for billing. To stay compliant and avoid denials, it’s important to know exactly when you can bill for these encounters - and when you can’t.

Below, we break down the key scenarios.
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When Telephone Visits Are Billable
1. The patient initiates the call, and it’s medically necessary.
• Billing requires that the patient request the service, and providers must document both medical necessity and the duration of the call.
2. No related E/M service was billed in the past 7 days.
• Telephone visits must be independent encounters. If a related E/M visit was billed within the last week, the call is considered part of that service.
3. The call does not result in an in-person visit within 24 hours.
• If the phone conversation leads to a face-to-face appointment, the call is bundled with that visit and not separately billable.
4. The call lasts at least 5 minutes.
• Anything shorter does not meet the minimum time threshold required for billing.
5. The provider gives clinical assessment, management, or decision-making.
• To bill, documentation must show that medical decision-making occurred, along with the time spent on the call.
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When Telephone Visits Are Not Billable
1. Call occurs within 7 days of a related E/M service.
• These calls are bundled into the original visit and not separately reimbursable.
2. Call leads to an in-person visit within 24 hours (or the next available appointment).
• Considered pre-service work and included in the resulting visit.
3. The patient did not request the call.
• Telephone visits must be patient-initiated. Provider-initiated calls do not qualify.
4. The call is administrative only.
• Examples include scheduling, prescription refills, or other tasks without medical necessity or clinical evaluation.
5. The call is solely to review lab results.
• Without medical decision-making, these calls don’t qualify for billing. Additionally, they may fall under the “within 7 days of a visit” rule.
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The Bottom Line
To bill for a telephone visit, it must:
• Be patient-initiated
• Involve medical necessity
• Meet the time requirement (≥ 5 minutes)
• Include clinical assessment or decision-making
• Be independent of recent or upcoming visits

Sticking to these guidelines ensures compliance and helps avoid claim denials.

Schedule a free consultation today - https://www.codeemr.com/request-information/

Request information about outsourcing medical coding services with CodeEMR. Our remote coders ensure fast chart processing and improved revenue cycle efficiency.

10/16/2025

💡 Did you know?

Accurate HCC (Hierarchical Condition Category) coding plays a critical role in determining reimbursement, ensuring risk adjustment accuracy, and reflecting the true complexity of patient care.

In value-based care models, even a single missed or inaccurate diagnosis code can lead to underpayments and compliance risks.

In our latest blog, we break down:

1) Key HCC coding guidelines every provider and coder should know
2) Common documentation errors that impact reimbursements
3) Why annual recapture of chronic conditions is crucial
4) How accurate coding strengthens compliance and audit readiness

📖 Read the full blog to know more: https://www.codeemr.com/hcc-coding-guidelines/

Comprehensive HCC coding guidelines for risk adjustment and medical coding, helping providers ensure accurate documentation, compliance, and optimal reimbursement.

10/13/2025

💬 Client Testimonial Spotlight

“CodeEMR has been an incredible addition for our clinic team. Their Medicare and Commercial Payor coding has helped to increase accuracy, reduce internal staffing burden, and improve provider education. We are grateful for a responsive partner that aids us in our efforts to improve quality, coding, and ultimately patient care.”

At CodeEMR, we take pride in being more than just a medical coding service - we’re a trusted partner helping healthcare organizations enhance accuracy, reduce administrative strain, and support better patient outcomes.

✨ Accurate Coding | 📊 Optimized Workflows | 👩‍⚕️ Better Patient Care

Contact us today - https://codeemr.com/request-information

Request information about outsourcing medical coding services with CodeEMR. Our remote coders ensure fast chart processing and improved revenue cycle efficiency.

10/09/2025

Why Outsourcing Medical Billing Makes Sense for Healthcare Practices

Running a clinical practice isn’t just about patient care - managing the revenue cycle effectively is equally critical. In our latest blog, we explore how outsourcing medical billing can be a strategic move to:

1. Reduce administrative burden
2. Improve revenue flow and faster reimbursements
3. Tap into certified experts and compliance support
4. Scale flexibly without the overhead of in-house staff
5. Maintain transparency through robust reporting and KPIs

At CodeEMR, our goal is to partner with providers so they can focus on what matters most - delivering quality care, while we optimize the billing, claim management, and coding workflows behind the scenes.

📖 Read the full blog here → https://www.codeemr.com/why-outsourcing-medical-billing-services/

Outsourcing medical billing services enables healthcare practices to reduce costs, improve claim accuracy, and maximize revenue while focusing on patient care.

10/06/2025

Diabetes Coding Update: New ICD-10 Code for Type 2 Diabetes in Remission – Effective October 1, 2025

Starting October 1, 2025, a new ICD-10 code, E11.A, will be used for Type 2 diabetes mellitus without complications, in remission. This update emphasizes the importance of accurate documentation to reflect a patient’s current diabetes status.

Key Points to Remember:
It’s essential that documentation clearly indicates the diabetes is in remission. Note that the term “resolved” does not mean the same as remission, so precise language is crucial for accurate coding.

Required Documentation Elements:

To support the use of the new E11.A code, the following elements should be documented in the patient’s record:
1. A clear statement that diabetes is in remission (or resolution, if applicable).
2. No current use of diabetes medications.
3. Current HbA1c values documented.
4. Lifestyle interventions being used, such as diet and exercise.
5. Absence of ongoing diabetic complications.
6. If any complications exist, they must be documented as sequelae.

This coding update ensures that patients who have achieved remission of Type 2 diabetes are accurately represented in clinical records, supporting better care management and proper reporting.

Schedule a free consultation today - https://codeemr.com/request-information

10/02/2025

💡 Did you know? Even minor coding errors in urgent care - like misapplied E/M levels or missed after-hours codes - can lead to denials, lost revenue, and compliance risks.

Urgent care centers run at a fast pace, and coding accuracy is often overlooked. That’s why we put together a guide on Urgent Care Coding Best Practices.

In this blog, we share:
🔹 Key coding elements every urgent care must capture
🔹 Common mistakes that trigger denials
🔹 How CodeEMR’s certified coders ensure accuracy, compliance, and revenue integrity

Correct coding = cleaner claims, stronger revenue, and more time for patient care.

📖 Read the full blog: https://www.codeemr.com/2026-icd-10-cm-coding-guideline-updates-fqhc-providers/

Explore the 2026 ICD-10-CM coding guideline updates. Learn how FQHCs and healthcare providers can ensure compliance, improve coding accuracy, and boost revenue.

09/29/2025

💡 Did you know? Coding mistakes in urgent care centers are one of the top reasons for claim denials and lost revenue.

From selecting the wrong E/M levels to missing after-hours codes, even small errors can add up quickly.

In our latest blog, we break down Urgent Care Coding Guidelines to help practices:

✅ Avoid costly mistakes
✅ Strengthen compliance
✅ Improve reimbursement accuracy

👉 Read the full blog here: https://www.codeemr.com/urgent-care-coding-guidelines/

Explore urgent care coding guidelines with CodeEMR. Ensure accurate billing, maintain compliance, and boost reimbursement with expert coding insights and support.

09/25/2025

📸 We’re live at the NRHA Rural Health Clinic & Critical Access Hospital Conferences!

Stop by Booth #501 (Sept 23–26 | Kansas City, MO) to meet the CodeEMR team.

We’re showcasing our AI-powered virtual scribing, medical coding, and revenue cycle management solutions - built to support rural healthcare providers in:

✅ Improving efficiency
✅ Reducing administrative burden
✅ Driving better patient outcomes

If you’re attending, we’d love to connect! 🤝

09/22/2025

Coding Tip of the Week #14- Immunization Administration Codes Explained

When reporting vaccine administration, selecting the correct CPT code is essential for accuracy, compliance, and proper reimbursement. Below is a breakdown of the most commonly used immunization administration codes and when each applies.

Codes for Patients 18 Years and Under with Counseling:

90460 – Administration of a vaccine (any route) for patients through 18 years of age, with face-to-face counseling by a physician or other qualified health care professional; applies to the first or only component of a vaccine or toxoid.

+90461 – Each additional vaccine or toxoid component administered, with counseling (must be listed in addition to 90460).

Use 90460 for each vaccine administered. For combination vaccines with multiple components, report 90460 for the first component and 90461 for each additional component.

AMA CPT Guidance: Report codes 90460/90461 only if face-to-face counseling is provided to the patient and/or family during vaccine administration.

Codes Without Counseling or for Patients Over 18

If no face-to-face counseling is provided, or if the patient is 19 years or older, report one of the following codes:

90471 – Immunization administration (percutaneous, intradermal, subcutaneous, or intramuscular); first vaccine (single or combination).

+90472 – Each additional vaccine administered by injection (list separately in addition to 90471).

90473 – Immunization administration by oral or intranasal route; first vaccine (single or combination).

+90474 – Each additional oral or intranasal vaccine administered (list separately in addition to 90473).

Quick Tip:
18 & under + counseling → 90460/90461

18 & under without counseling → 90471-90474

19 & older (with or without counseling) → 90471-90474

Contact us to know more - https://codeemr.com/request-information

Request information about outsourcing medical coding services with CodeEMR. Our remote coders ensure fast chart processing and improved revenue cycle efficiency.

09/18/2025

CodeEMR at NRHA Rural Health Clinic & CAH Conferences!

We’re thrilled to be part of the NRHA Rural Health Clinic & Critical Access Hospital Conferences, happening Sept. 23–26, 2025 in Kansas City, MO.

📍 Stop by Booth #501 to see how CodeEMR is helping rural healthcare providers with:

✅ AI-powered Virtual Medical Scribing
✅ Accurate, compliant Medical Coding
✅ End-to-end Revenue Cycle Management solutions

Our goal is to streamline rural healthcare operations, reduce administrative burden, and ensure providers can focus more on patient care.

We look forward to connecting with rural health leaders and partners at !

Learn more: www.codeemr.com

09/15/2025

** Did you know?**

That quick, five-minute check-in - like a blood pressure follow-up or simple wound care - might qualify for reimbursement using CPT 99211, but it's often overlooked by busy practices.

Why it matters:

1. No history, exam, or complex decision-making required, just evaluation and management.
2. It's designed for established patients and can be a legitimate revenue stream when correctly documented.
3. Frequent pitfalls? Bundling it into other visits, misapplying “incident-to” rules, or failing to document clinical necessity.

How to get it right:

1. Confirm the patient is established (seen within 3 years).
2. Ensure there's a face-to-face interaction that includes evaluation and management.
3. Document oversight under incident-to supervision.
4. Keep the visit separate from other same-day services.
5. Use documentation templates and staff training.

At CodeEMR, our team of 500+ AAPC/AHIMA-certified coders helps you maximize these small but impactful claims, boosting compliant revenue and reducing denials.

👉 Discover how to unlock missed revenue with 99211: https://www.codeemr.com/unlock-99211-billing-reimbursement/

Unlock 99211 Billing Reimbursement with expert tips on coding, documentation, and compliance to reduce errors, ensure accuracy, and maximize practice revenue.