News and Intelligence

December 30, 2019

Practicefirst would like to notify our clients of important changes as outlined by CMS for CY 2020 regarding Medical Record Documentation.

As per CMS MLN Matters MM11560:

Medical Record Documentation:

CMS is finalizing, for CY 2020, a proposal to reduce burden by implementing a broadened general principle beyond teaching physicians that will allow:

  1. All physicians,

  2. Physician Assistants (PA’s),


April 12, 2019

With an understanding of the definition of critical care from Part 1 of this series, What Constitutes Critical Care?below are essential documentation and coding guidelines for Emergency Management physicians to ensure they receive the reimbursement they deserve.

Critical care is a time-based service and must be documented as the time the provider spent evaluating, providing care and managing the...

April 12, 2019

Emergency medicine physicians are trained to assess patients and make split-second, life-saving decisions, but documenting and coding those encounters can be complex, tedious and time-consuming. Because the relative value units (RVUs) for critical care services are high, the financial implications for physicians and their employers are significant. High RVUs also attract increased scrutiny from pa...

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