SS-UCP-207-23 - Stainless Pillow Block 1-7/16" Shaft - 207/23
A common condition prevalent due to significant lifestyle changes and dietary habits, dyslipidemia causes abnormal lipid levels in the blood. A major contributor to cardiovascular diseases, this condition involves imbalanced or high levels of cholesterol,...
99347: Home visit for the evaluation and management of an established patient requiring a problem-focused history, problem-focused examination, and straightforward medical decision-making, typically 15 minutes spent face-to-face with the patient.
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Modifiers are used in medical billing for identifying procedures that have been altered, without changing the core meaning of the code(s) submitted. Proper modifier use is crucial in claims submitted for chiropractic treatment. Many providers leverage chiropractic...
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What is 70/320 Simplified?. VisualFractions.com. Retrieved from http://visualfractions.com/calculator/simplify-fractions/what-is-70-320-simplified/.
If you made it this far down the page then you must REALLY love simplifying fractions? Below are a bunch of randomly generated calculations for your fraction loving pleasure:
99342 – Home visit for the evaluation and management of a new patient with a higher level of complexity than CPT 99341, at least 30 minutes of total time spent on the visit.
Here's a little bonus calculation for you to easily work out the decimal format of the fraction we calculated. All you need to do is divide the numerator by the denominator and you can convert any fraction to decimal:
For billing CPT Codes 99341 through 99350, patients do not need to be home-bound. Home visits can be billed as long as the patient is at home, regardless of whether they meet the “home-bound” criteria required for Medicare’s home health benefit.
According to the American Academy of Family Physicians (AAFP), the reasons to add home visits to an office-based practice include:
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The “language of medicine,” as the CPT code set is often referred to, is set to see several updates in 2025. As a provider of medical billing and coding services, we keep pace with these changes to ensure accuracy and compliance. The AMA’s new edition which contains...
The growth in physician house calls can be attributed to increased payment rates, advancements in technology, and the aging population. Studies have demonstrated that house calls not only improve patient outcomes but also reduce healthcare costs by $2,000 per patient annually (AAFP). Partnering with an experienced medical billing company can help physicians optimize reimbursement as they focus on delivering comprehensive, team-based care to elderly, chronically ill, frail, or functionally limited patients in their residence.
Beginning January 1, 2023, CPT created a new code family known as ‘Home or Residence Services.” (99341–99350) by merging two Evaluation and Management (E/M) visit families titled “Domiciliary, Rest Home (e.g., Boarding Home), or Custodial Care Services” and “Home Services.” The Place of Service (POS) code for “Home or Residence Services” is 12.
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99344 – Home visit for the evaluation and management of a new patient requiring a moderately high level of care, at least 60 minutes of total time spent on the visit.
In our case with 70/320, the greatest common factor is 10. Once we have this, we can divide both the numerator and the denominator by it, and voila, the fraction is simplified:
99349: Home visit for the evaluation and management of an established patient requiring a detailed history, detailed examination, and moderate-complexity medical decision-making, typically 40 minutes spent face-to-face with the patient.
Key components required: A problem-focused history, a problem-focused examination, and straightforward medical decision-making.
For patients to receive care under Medicare’s home health benefit, they must be “home-bound based on the Centers for Medicare & Medicaid (CMS) criteria,” meaning they are typically unable to leave their home without assistance due to illness or injury.
99345 – Home visit for the evaluation and management of a new patient requiring a high level of care at least 75 minutes of total time spent on the visit.
So there you have it! You now know exactly how to simplify 70/320 to its lowest terms. Hopefully you understood the process and can use the same techniques to simplify other fractions on your own. The complete answer is below:
99341 – Medically necessary face-to-face encounter conducted at the patient’s residence, 20 minutes of total time spent on the visit.
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"What is 70/320 Simplified?". VisualFractions.com. Accessed on December 28, 2024. http://visualfractions.com/calculator/simplify-fractions/what-is-70-320-simplified/.
To qualify for coverage, the medical record must document the medical necessity of the home visit made in lieu of an office or outpatient visit. The Office of Inspector General (OIG) and several contractors of the Centers for Medicare & Medicaid Services (CMS) scrutinize physician home services billed to the Medicare program to ensure that house calls are medically necessary. In other words, the physician must present a medical rather than practical reason for visiting a patient outside the office.
Components required: Expanded problem-focused history, expanded problem-focused examination, and straightforward medical decision-making.
Components required: Comprehensive history, comprehensive examination, and medical decision-making of moderate complexity.
Physician house calls are experiencing a resurgence mainly due to an aging population, improved technology allowing for diagnostic tests to be done in the home. Another factor that has contributed to this development is the growing recognition of the benefits of providing care in a patient’s home setting, particularly for those with mobility issues or chronic illnesses. The reimbursement rates for home-based primary care (HBPC) has increased over the years. Home or Residence Services (CPT codes 99341–99350) may only be billed when services are provided in the beneficiary’s private residence (POS 12). Relying on professional home health medical billing services can help physicians take advantage of the growing support for HBPC by ensuring accurate billing.
99350: Home visit for the evaluation and management of an established patient requiring a comprehensive history, comprehensive examination, and high-complexity medical decision-making, typically 60 minutes or more spent face-to-face with the patient.
99348: Home visit for the evaluation and management of an established patient requiring an expanded problem-focused history, expanded problem-focused examination, and low-complexity medical decision-making, typically 25 minutes spent face-to-face with the patient.
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To do this, we use something called the greatest common factor. It's also known as the greatest common divisor and put simply, it's the highest number that divides exactly into two or more numbers.
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Evaluation and management (E/M) services represent a medically necessary, face-to-face encounter at the patient’s residence. The description of home visits includes time for preparation, face-to-face interaction, and any necessary follow-up activities.
"What is 70/320 Simplified?". VisualFractions.com, http://visualfractions.com/calculator/simplify-fractions/what-is-70-320-simplified/. Accessed 28 December, 2024.
99343 – Home visit for the evaluation and management of a new patient requiring a moderate level of care, at least 45 minutes of total time spent on the visit.
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To start with, the number above the line (70) in a fraction is called a numerator and the number below the line (320) is called the denominator.
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So what we want to do here is to simplify the numerator and denominator in 70/320 to their lowest possible values, while keeping the actual fraction the same.
Claim denials for POS 12 services result in delayed or missed reimbursements, affecting the provider’s financial stability and limiting patients’ access to essential care. Here are common reasons for denials:
CPT codes 99341–99350 are used to report E/M services furnished to a patient residing in their home, in an assisted living facility, in a group home (that is not licensed as an intermediate care facility for individuals with intellectual disabilities), in a custodial care facility, or in a residential substance abuse treatment facility.
Are you looking to calculate how to simplify the fraction 70/320? In this really simple guide, we'll teach you exactly how to simplify 70/320 and convert it to the lowest form (this is sometimes calling reducing a fraction to the lowest terms).