Introduction
G2211 is generating a lot of buzz among healthcare providers and practices. This add-on code offers an opportunity for additional reimbursement, but understanding how to use it correctly is crucial. As of January this year, Medicare began reimbursing providers roughly $16 per visit for successfully meeting the criteria for this code. G2211 can be added to visit codes 99202 - 99205 and 99211 - 99215, potentially increasing your revenue significantly. But what exactly is G2211, and how can OutcomeMD assist in utilizing it effectively?
What is G2211?
G2211 was initially created for primary care but is not limited to a single specialty. It can also be used for telehealth visits, making it a versatile tool for healthcare providers. The core focus of G2211 is on the "relationship" between the provider and the patient. This code is meant for personalized care and should not be billed for routine or quick check-in visits. Therefore, not all visits will meet the criteria for G2211, nor will all patients be eligible.
Defining the "Relationship"
At its heart, G2211 is designed for a longitudinal relationship with patients, where treatment plans are discussed and reviewed together. This involves having in-depth conversations with patients about their conditions, treatment options, and next steps. The code emphasizes personalized care, valuing the patient's input and understanding.
Examples of G2211 in Practice
Example 1:
The patient has an ongoing endocrine issue, where they routinely come in for lab work.
During your visits, you and the patient discuss how they are doing with the new
medication, if there are any side effects, and what the next steps are. During this, the
patient outlines how they want to try a different route. They want to look at this new
therapy that they read about. The two of you discuss the pros and cons of how this new
therapy may or may not work for their current condition. You discuss that you want to try. another round of the current treatment (another three months), and if the lab work has
not improved, then when they come back, you will look at utilizing this new therapy plan.
All of this must be documented within the note to express how this is a customized,
personalized treatment plan. The documentation showcases the back-and-forth
relationship you have with your patient.
Example 2:
The same patient returns three months later, and a quick follow-up visit occurs. You and
the patient review labs, discuss how they are trending correctly, and that you are
staying the same course of the treatment plan. The patient agrees and leaves the office
within 5 minutes of seeing you. This would be considered a quick, time-limited routine
follow-up and would not meet the essence of G2211.
Another example would be a patient you see once a year for their annual routine check-
up, where no issues are present. This patient would not meet the criteria required to be
capable of adding on G2211.
How OutcomeMD Can Help
OutcomeMD’s platform is designed to help you effectively use G2211. It provides real-time patient progress updates, facilitating more in-depth conversations. You can set thresholds and receive notifications when they decrease, enabling proactive patient outreach. Our user-friendly platform integrates seamlessly with your EMR/EHR, allowing you to access all your EHR information and outcomes data in one convenient location. With OutcomeMD, you can confidently maximize the use of G2211.
Contact Us
If you’re interested in learning more about G2211 or how OutcomeMD can assist, contact us today. We’re here to help you navigate these changes and optimize your practice.
Disclaimer: This blog post is for informational purposes only and should not be considered a recommendation or advice. Always consult with a qualified healthcare professional for specific guidance related to medical billing and coding practices
.png)
.png)
%20(1).png)