Background Rural Health Centers (RHCs) and Federally Qualified Health Centers (FQHCs) have specific rules related to coding for service in their … [Read more...]
Medicare Coverage for Marriage and Family Therapists and Mental Health Counselors
In the Consolidated Appropriations Act, 2023 Congress mandated that Medicare provide coverage and payment for the services of health professionals who … [Read more...]
Coding for Telehealth – Overview
Update: Medicare telehealth payment policies The public health emergency federal designation expired March 11, 2023 However, the end of the … [Read more...]
What are Social Determinants of Health?
Question: Can you settle this question for our coding team? Are smoking and drinking considered Social Determinants of … [Read more...]
What’s New in the Proposed Physician Fee Schedule Rule
Proposed Physician Fee Schedule Rule, 2024 CMS issued the Proposed Physician Fee Schedule (PFS) Rule July 13, 2023, with a 60-day comment period. … [Read more...]
2024 CMS Proposed Physician Rule | Webinar
CMS's 2024 Proposed Physician Rule Recorded August 17, 2023 CMS released its 2024 Proposed Physician Fee Schedule rule on July 13, and it's packed … [Read more...]
Documentation for Advance Care Planning
Question: How much detail do I need to include in documentation for Advance Care Planning? Answer: Document the discussion in enough detail that … [Read more...]
Coding Clinic Update, 2Q, 2023
Dr. Kennedy has generously allowed me to share his summary. He emphasizes that he is paraphrasing the recent advice in the spirit of “fair use” and we … [Read more...]
HCC Transition from V24 to V28 | Webinar
HCC Transition from V24 to V28 Recorded July 20, 2023 CMS is transitioning risk coding from the 2020 V24 model to V28 beginning in 2024. … [Read more...]
Reporting the Global Surgical Package | Webinar
Your Guide to Accurately Reporting the Global Surgical Package Recorded June 15, 2023 The global surgical package provides a single payment … [Read more...]
Compliance Issues in ICD-10 Coding for Risk Based Contracts and HCCs
Everyone loves to read the general guidelines at the front of the ICD-10 book, right? No? Well, here's an important excerpt. "Code all documented … [Read more...]
CPT Coding for Bronchoscopy Procedures | Webinar
"Breathe in, Breathe out": CPT Coding for Bronchoscopy Procedures Recorded May 18, 2022 BAL, EBUS, TBB, TBNA, EBB and even navigation! Not sure … [Read more...]
Coding for Hospital Services | Webinar
Coding for hospital services Recorded April 20, 2023 First, CPT® updated their E/M code set. Then, CMS interpreted the updates and applied their own … [Read more...]
CMS Split/Shared Services Rules | Reference Sheet
Download Reference Sheet Split/shared services are evaluation and management services (E/M) services performed jointly between a physician and a … [Read more...]
Chronic Care Management | Reference Sheet
This quick reference sheet includes clinical staff time, care planning and billing practitioner work criteria for chronic care management services. … [Read more...]
Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse | HCPCS Code G0442
The US Preventive Services Task Force (USPSTF) recommends screening for alcohol misuse and behavioral interventions for individuals whose screening … [Read more...]
Code Prolonged Services with Confidence | Webinar
Coding for Prolonged Services: 2023 Edition Recorded March 16, 2023 Prolonged care coding has new challenges in 2023. There are both CPT® … [Read more...]
Are You Missing the Initial Annual Wellness Visit? | G0438
Knowing which Medicare wellness visit to bill Eligibility requirements for the Welcome to Medicare visit After I gave a presentation at a family … [Read more...]
Coding for Observation Services
CPT codes for observation services Beginning January 1, 2023 there are two sets of codes used for both inpatient status and observation level of … [Read more...]
Removal of Sutures or Staples
There are three codes for removal of sutures or staples. How to bill for suture removal is a question that comes up frequently. And the answer to the … [Read more...]
Coding for Hernia Repair
CPT® revised the codes and concepts used for coding for hernia repair. These are significant changes for surgical procedures that are used very … [Read more...]
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