Clinical Practice Resources

Practical lessons from a first-year headache attending on coding, boundaries, patient communication, burnout prevention, and building your own practice style.

Overview of CMS add-on code G2211 for longitudinal, complex care visits, with billing guidance, headache-specific examples, and tips for neurology practices.

Practical lessons from a first-year headache attending on coding, boundaries, patient communication, burnout prevention, and building your own practice style.

The update on CMS JW/JZ modifier use for drugs and biologics, including OnabotulinumtoxinA; guidance on compliance, documentation, and payer policies.

The 2021 E/M changes allow outpatient visit levels to be selected based on total time or medical decision making (MDM), reducing documentation burden and simplifying coding.

The 2021 CMS E/M updates introduce time or MDM-based billing, remove history and exam from code selection, and revise time guidelines for outpatient visits.

Time-based billing accounts for total face-to-face time, including counseling, education, and care coordination, helping providers capture time-intensive visits accurately.

Billing a procedure with a separate medical concern requires enough time and distinct ICD-10 codes. Use the procedure CPT code and an E/M code with a 25-modifier for the additional issue.

Patient payments and insurance considerations in headache care involve ABNs, opt-out protocols, fair charge rates, same-day discounts, and support for appeals and out-of-network scenarios.

Billing for prolonged non-face-to-face medical record review in headache care using CPT 99358/99359 with proper documentation of time, activities, and dates for accurate reimbursement.

Support for students with migraine includes action plans, school accommodations, and 504 Plans to ensure safe care, reduce stigma, and help children manage headaches while staying engaged in school.

CPT 99358 allows billing for extended medical record review outside visits, requiring 30+ minutes of physician time, proper documentation, and adherence to payer guidelines.

RVUs reflect physician effort, practice costs, and malpractice risk, guiding payments and productivity. wRVUs determine compensation, with geographic adjustments and modifiers affecting reimbursement. Tracking RVUs helps monitor efficiency, coding, and practice finances.