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CodeCast | Medical Billing and Coding Insights - Revisiting SDoH G0136 Reporting

Revisiting SDoH G0136 Reporting

04/02/24 • 14 min

CodeCast | Medical Billing and Coding Insights

There will be more over-coding and overreaching with the additional codes Medicare provides to capture services. This episode explains the distinction for code G0136 and why it isn’t a “screening” service (as per CMS) but an assessment.

Terry discusses the new SDoH assessment code and when it should and shouldn’t be billed.

We previously discussed how to use this code, but now after a quarter of usage, let’s look at the “when” to report it.

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If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

The post Revisiting SDoH G0136 Reporting appeared first on Terry Fletcher Consulting, Inc..

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There will be more over-coding and overreaching with the additional codes Medicare provides to capture services. This episode explains the distinction for code G0136 and why it isn’t a “screening” service (as per CMS) but an assessment.

Terry discusses the new SDoH assessment code and when it should and shouldn’t be billed.

We previously discussed how to use this code, but now after a quarter of usage, let’s look at the “when” to report it.

Subscribe and Listen

You can subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

The post Revisiting SDoH G0136 Reporting appeared first on Terry Fletcher Consulting, Inc..

Previous Episode

undefined - Top 10 Tuesday Q&A – Auditing Telehealth

Top 10 Tuesday Q&A – Auditing Telehealth

In this Top Ten Q&A episode, Terry tackles what the focus of any telehealth audit should be.

Auditing Telehealth encounters is more that just looking at the coding. It should also include medical necessity, the technical and procedural aspects of the service, and on patient satisfaction and outcomes.

She also recommends an external audit if internal audits find any irregularities: and Terry Fletcher Consulting, Inc. is here to help if you need us!

Subscribe and Listen

You can subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

The post Top 10 Tuesday Q&A – Auditing Telehealth appeared first on Terry Fletcher Consulting, Inc..

Next Episode

undefined - Is This Really Medically Necessary?

Is This Really Medically Necessary?

TPE audits from Medicare, along with private and commercial payer audits are on the rise. It is more important than ever to monitor physician records and make sure that when they submit any level of E/M. (Especially level 4’s and level 5’s.)

In this episode, Terry reinforces making sure the visit not only meets the level of service billed, but also that the visit is even medically necessary to be able to be billed.

Subscribe and Listen

You can subscribe to our podcasts via:

If you’d like to become a sponsor of the CodeCast podcast please contact us directly for pricing: https://www.terryfletcher.net/contact/

The post Is This Really Medically Necessary? appeared first on Terry Fletcher Consulting, Inc..

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