Video: Every Case Tells a Story| Webinar: ACR/CHEST ILD Guidelines in Practice

An official publication of the ACR and the ARP serving rheumatologists and rheumatology professionals

  • Conditions
    • Axial Spondyloarthritis
    • Gout and Crystalline Arthritis
    • Myositis
    • Osteoarthritis and Bone Disorders
    • Pain Syndromes
    • Pediatric Conditions
    • Psoriatic Arthritis
    • Rheumatoid Arthritis
    • Sjögren’s Disease
    • Systemic Lupus Erythematosus
    • Systemic Sclerosis
    • Vasculitis
    • Other Rheumatic Conditions
  • FocusRheum
    • ANCA-Associated Vasculitis
    • Axial Spondyloarthritis
    • Gout
    • Psoriatic Arthritis
    • Rheumatoid Arthritis
    • Systemic Lupus Erythematosus
  • Guidance
    • Clinical Criteria/Guidelines
    • Ethics
    • Legal Updates
    • Legislation & Advocacy
    • Meeting Reports
      • ACR Convergence
      • Other ACR meetings
      • EULAR/Other
    • Research Rheum
  • Drug Updates
    • Analgesics
    • Biologics/DMARDs
  • Practice Support
    • Billing/Coding
    • EMRs
    • Facility
    • Insurance
    • QA/QI
    • Technology
    • Workforce
  • Opinion
    • Patient Perspective
    • Profiles
    • Rheuminations
      • Video
    • Speak Out Rheum
  • Career
    • ACR ExamRheum
    • Awards
    • Career Development
  • ACR
    • ACR Home
    • ACR Convergence
    • ACR Guidelines
    • Journals
      • ACR Open Rheumatology
      • Arthritis & Rheumatology
      • Arthritis Care & Research
    • From the College
    • Events/CME
    • President’s Perspective
  • Search

Letter: Of Coding and Perception

Paul Waytz, MD  |  Issue: April 2012  |  April 6, 2012

Dr. Helfgott,
First of all, congratulations on your selection as physician editor of The Rheumatologist. I wish you all of the best in this endeavor. If your future is anything like your first commentary regarding the U.S. vs. Canadian health systems, the journal has a bright future. Your comments were thoughtful, succinct, erudite, and captured past issues as well as potential paths for the future. Thank you for those insights and clarity.

Regarding the February “Coding Corner,” although I know that the upcoding was legitimized by the time spent (30 minutes), I have some philosophical concerns, especially because our business manager stresses that coding based on time can be a delicate issue. When was the patient last seen: a month ago, six months ago, two years ago? Some of the documentation was based on family history and review of systems (six separate areas). It is deliciously easy to bring forward these categories (from original questioning) into a current record with a click of a box—and giving the impression that all questions were truly asked. Pardon me for my suspicion, but this comes from a group with almost 10 years of EHR experience. Does the 30 minutes include the time to do the X-ray? And why was the X-ray done? The report indicates no change from a prior X-ray done “the previous visit.” I won’t ask why a complete urinalysis was done.

ad goes here:advert-1
ADVERTISEMENT
SCROLL TO CONTINUE

My issue is based on the honesty of it all, and the example as it is represented. In addition to being true to ourselves, we do have responsibility for costs (even if other subspecialties do not). Does this really and truly justify charging more? Even if it’s a few dollars difference, what message is being sent?

Paul Waytz, MD
Arthritis and Rheumatology Consultants
Minneapolis

ad goes here:advert-2
ADVERTISEMENT
SCROLL TO CONTINUE

Click here to read the ACR Coding Specialist Response.

Share: 

Filed under:Billing/CodingEMRsPractice SupportTechnology Tagged with:BillingCodingelectronic health recordimagingPractice ManagementrheumatologistTechnology

Related Articles

    The History of The Rheumatologist

    December 8, 2022

    The Rheumatologist (TR) premiered in 2006, with its first full year of publication in 2007. In the 15 years since, it has sought to provide clinicians, researchers and healthcare providers with the most stimulating and educational content found in the field of rheumatology. The responsibility for achieving this mission has been borne by just three…

    Prepare NOW for ICD-10 Medical Coding Transition

    Prepare NOW for ICD-10 Medical Coding Transition

    July 14, 2015

    The ICD-10 page on the Centers for Medicare & Medicaid Services (CMS) website features a countdown clock that shows the time left until Oct. 1, 2015, the date on which compliance with the new code set becomes mandatory. By the time this issue goes to press, the clock will read 90 or fewer days. Time…

    ACR Coding Specialist Responds to Letter: Of Coding and Perception

    April 6, 2012

    Thank you for forwarding this concern; feedback on the “Coding Corners” is greatly appreciated. I would like to discuss each issue line by line.

    The ACR Practice Management Department Offers Myriad Resources for Rheumatologists

    October 1, 2014

    Tools, resources help physicians, staff tackle billing and coding rules, navigate healthcare compliance issues

  • About Us
  • Meet the Editors
  • Issue Archives
  • Contribute
  • Advertise
  • Contact Us
  • Copyright © 2025 by John Wiley & Sons, Inc. All rights reserved, including rights for text and data mining and training of artificial technologies or similar technologies. ISSN 1931-3268 (print). ISSN 1931-3209 (online).
  • DEI Statement
  • Privacy Policy
  • Terms of Use
  • Cookie Preferences