CMS's 2021 Proposed Physician Rule July 23, 2020 @ 12:00 pm (EST) There is often excitement and anticipation about CMS’s Proposed Physician … [Read more...]
Telemedicine in RHCs and FQHCs
New! April 17, 2020 Finally! CMS has released guidance about paying for telehealth services in Rural Health Centers (RHCs) and Federally Qualified … [Read more...]
Payment for telephone calls: CMS update
Updated May 9, 2020, with information from the 4/30/20 rule CMS will pay for phone calls using codes 99441—99443. The 4/30/20 rule adds these to … [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! | Physician Final Rule
Information about CMS's Physician Fee Schedule Final Rule is updated annually when the rule is released. For reference, previous years are archived … [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...]
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...]