A Conversation with Two Auditors: Lessons Learned about MDM Recorded September 28, 2023 Medical practices can prepare for audits, improve … [Read more...]
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Coding Mattersâ„¢
Health care coding news matters to coders, billers administrators and practitioners in medical practices. Often, there’s new beyond new codes or new … [Read more...]
CMS Finalizing Principal Illness Navigation (PIN) Services
This is information from the 2024 Physician Fee Schedule Final Rule https://public-inspection.federalregister.gov/2023-24184.pdf CMS developed … [Read more...]
CMS Adopts Codes for Caregiver Training Services (CTS)
This is information from the 2024 Physician Fee Schedule Final Rule, published Nov. 2, 2023. You can read it for yourself by downloading the pdf … [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’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...]
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...]
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...]
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 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...]
Coding Guide – Critical Care Services
Critical care is a complex service provided to a patient who has vital organ system failure or to prevent further life-threatening deterioration of … [Read more...]
CMS Teaching Physician Rules Update | Webinar
Let's review the teaching physician rules Recorded February 16, 2023 The teaching physician rules provide payment to an attending physician … [Read more...]
Principal Care Management (PCM) Services – CPT codes 99426—99427
There are four principal care management codes 99424 and 99425 are for time spent by a physician or other qualified health care professional … [Read more...]
Chronic Care Management
Medicare and private payers cover chronic care management services if a patient has two or more serious conditions that are expected to last at least … [Read more...]
Transitional Care Management
This article provides answers to frequently asked questions related to transitional care management services. It includes details about billing for … [Read more...]
Critical Care Services
Definition and Explanation of Critical Care Service Definition: Caring for a critically ill or injured patient Explanation: Critical care … [Read more...]
Category of Code
This article is from the Category of Code section in our Everyday Coding book. It provides definitions and tips for determining whether an office … [Read more...]
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