Question: Should we begin using the new CPT® modifier -93? Answer: I recommend a wait and see approach. Here’s the definition from the AMA, … [Read more...]
Coding and reimbursement for lactation services
Questions about coverage and payment for breastfeeding and lactation counseling services come up regularly. Is lactation counseling separately … [Read more...]
Coding Guide – Federally Qualified Health Centers
If you are looking for a guide to coding for FQHC visits, here it is. Clinicians in FQHCs use CPT and ICD-10 codes to select their services, but these … [Read more...]
Coding Guide – Teaching Physician Rules
The teaching physician rules are Medicare rules that allow for payment for services that are performed jointly between a resident and a licensed … [Read more...]
Remote therapeutic monitoring – new CPT codes in 2022
Remote therapeutic monitoring: new in 2022 There are five new remote therapeutic monitoring codes in the general medicine section of CPT® which … [Read more...]
Teaching Physician Rules | Quick Reference Guide
The rules for documenting services provided jointly between an attending or teaching physician and a resident in a GME program vary based on the … [Read more...]
New vaccination codes for 2022
The 2022 CPT® book has some new vaccination codes and some vaccination codes that practices have been using in 2021. These include codes for the serum … [Read more...]
How old is your oldest CPT book
My, how CPT® has grown Thank you to everyone who completed our mission critical survey: how old is your oldest CPT® book and how many pages is it? … [Read more...]
2022 RVU table with national fee amounts
Looking for 2022 work RVUs? Wondering how much a new code pays? Look no farther. You can download the 2022 CMS national RVU table below. It does … [Read more...]
Physician Fee Schedule Final Rule for Calendar Year 2022
Conversion factor for 2022 released Conversion factor decreased 3.75% from 2021 to 2022 CMS posts complicated shared services rules for … [Read more...]
CMS’s 2022 shared or split services policy: a case study in confusion
Shared or split services are Evaluation and Management (E/M) services performed jointly between a physician and a non-physician practitioner (NPP), in … [Read more...]
CMS’s 2022 Physician Fee Schedule Final Rule | Webinar
2022 Medicare Physician Fee Schedule Final Rule Recorded on December 15, 2021 @ 12:00 pm The Final Rule was released on time this year, November … [Read more...]
Update to ICD-10-CM in 2022 including COVID and SDoH | Webinar
Recorded on November 18, 2021 While there are only 159 new diagnosis codes in the ICD-10-CM code set, effective October 1, 2021, there are updates … [Read more...]
Best Practices in Revenue Cycle Management | Webinar
Best Practices in RCM: Strategies for a New Era in Healthcare Recorded on October 21, 2021 Medical practices face new risks and opportunities as … [Read more...]
Why not bill all 99213 visits in an FQHC?
Why not bill all 99213 visits in an FQHC? (Hint: it's a good way of telling everyone that they were pretty easy visits.) Practitioners who work in … [Read more...]
Can we bill a new patient visit for preventive and E/M services on the same day?
See our on-demand webinar, Preventive medicine and Medicare wellness visits with an E/M. Question: Our physician saw a patient and did a … [Read more...]
When to use time to select an office visit code using the 2021 E/M guidelines
Select the level of service for codes 99202—99215 based on time or medical decision making (MDM) Time includes all time spent by the billing … [Read more...]
What’s New in the Proposed Physician Fee Schedule Rule
Highlights of the 2022 Proposed Physician Fee Schedule rule Conversion factor decreases, sequester and PAYGO decreases still in place … [Read more...]
Preventive medicine and Medicare wellness visits with an E/M | Webinar
Preventive medicine and Medicare wellness visits with an E/M Recorded on September 16th, 2021 When can you bill a problem visit and a CPT … [Read more...]
CMS’s 2022 Proposed Physician Rule | Webinar
CMS's 2022 Proposed Physician Rule Recorded on August 26th, 2021 CMS usually releases the Proposed Physician Fee Schedule rule at the end of … [Read more...]
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