CMS will pay for phone calls using codes 99441—99443, and 98966—98968 These codes previously had a non-covered status Physicians, nurse … [Read more...]
CMS’s 2020 Proposed Physician Rule | Webinar
Recorded August 22, 2019 Note: The proposed rule was replaced by CMS Final Rule in November, 2019. For a review of the final rule, watch the … [Read more...]
Teaching Physician Rules – Evaluation and Management Services
CMS policy update: E/M services performed under the teaching physician rules Did you see that CMS updated its teaching physician rules? In the 2019 … [Read more...]
That’s final, and I mean it! | 2019 Physician Final Rule
The 2019 Physician Final Rule was released right on time on November 1, 2018. By now, you’ve heard the news that CMS is not implementing its major … [Read more...]
CMS Physician Fee Final Rule for 2019 | Webinar
Recorded November 20, 2018 The wait is over! Hear what coding and payment policies CMS is implementing for January 1, 2019 and how they will affect … [Read more...]
Coding Guide – How Physician Services are Paid
Table of Contents CPT® HCPCS Modifiers NCCI Multiple procedures Fee calculation Global surgical payment Diagnosis … [Read more...]
CMS Proposed Changes in the 2019 Physician Fee Schedule Rule | Webinar
Recorded August 16, 2018 Some Fee Schedule rules are almost boring, but not this year! CMS is proposing significant changes to the payment … [Read more...]
Teaching Physician and Resident Specialty | Medicare Teaching Physician Rules
Question: Can a teaching physician from one specialty supervise a resident in a different specialty. Answer: Although CMS updated the rules … [Read more...]
Primary care and post-op reporting | Medicare requirements
Hey, primary care! This one’s for you too. Primary care doctors probably didn’t pay attention when the news broke that CMS is requiring reporting … [Read more...]
Facility versus Non-Facility in the Physician Fee Schedule
CMS develops and publishes the Physician Fee Schedule in November of each year, as part of the Physician Fee Schedule Final Rule The fee schedule … [Read more...]
Coding Guide – Teaching Physician Rules
The teaching physician guidelines are Medicare rules that allow for payment for services that are performed jointly between a resident and a licensed … [Read more...]
Teaching physician rules and surgical procedures
The teaching physician rules describe a payment method by which Medicare pays an attending physician or teaching physician for services performed … [Read more...]
Teaching Physician – Primary Care Exception
Overview | Primary Care Exception and modifier GE CMS updated the teaching physician rules in 2019, and this article reflects the change. On April … [Read more...]
Secrets of the Medicare Fee Schedule
The Medicare Fee Schedule is much more than Relative Value Units! It is the source of global days and status indicators. It tells if a service can be … [Read more...]
Skype ≠ Telemedicine
I got a call from a vendor trying to develop a video conferencing product for a physician to use to talk to a patient who is at home. He said “I’m … [Read more...]
Risky business, or tempest in a teapot: Are you an audit target?
Some days, it appears we compliance and coding folks are like the boy who cried wolf. We see shadows around every corner. We emulate Captain Kirk, … [Read more...]
Cloning: I Read the News Today, Oh Boy.
Certain medical stories are irresistible to the popular press: ICD-10 external cause codes that are ridiculous (W61.43XD, pecked by a turkey, … [Read more...]