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Reporting Level 5 E/M Code 99205

Reporting Level 5 E/M Code 99205

CPT code 99205 is a high-level evaluation and management code used for the evaluation and management of new patients, for both office and outpatient visits. CPT code 99205 can be selected for new patient visits lasting 60+ minutes on the date of encounter. The total...

RAC Audits Put on Hold Temporarily

RAC Audits Put on Hold Temporarily

With a view to allow existing contracts with audit contractors to expire, the CMS has temporarily halted new RAC audit requests effective February 21st. The Recovery Audit Contractors (RACs) currently under contract to CMS were directed to stop sending post-payment...

Be Prepared for a Private Payer Audit

Be Prepared for a Private Payer Audit

Private payers often send notices to physician practices claiming that they have made an overpayment, and that physicians should remit the amount due to them within a certain deadline. Payers may carry out audits and send repayment requests when they think they have...