The technology, growing in popularity, is one way to reduce errors and enhance communication. Speeding up and simplifying the communication between provider and payer means a lot more than just getting reimbursed. It can help healthcare organizations be more transparent about costs to patients. It can maximize the amount of time skilled workers deal with […]
Q: Some of our Medicare patient’s complain about their $20 or so co-pay when we bill ‘Combination visits’, a G0439 Annual Wellness visit codes(AWV) and another Current Procedural Terminology (CPT) code for managing their problems during the same visit. Is there a good solution to this issue or any advice to maybe remedy this? A: This […]
The American Medical Association issued a checklist for the transition to fundamental changes in evaluation and management (E/M) services, a medical coding process in support of medical billing which practicing healthcare providers must use to be reimbursed by Medicare, Medicaid programs or private insurance. The checklist provides a guide for physician practices, which already are […]
As the sun sets on 2019, we look back and reflect on the major news and trends that shaped the revenue cycle this year. From the tumultuous battle over price transparency to the rise of automation and the ushering in of AI, 2019 was a banner year for revenue cycles as they reckoned with a […]
Among the proposed new rules is one intended to clarify the contentious “Stark Law” On Oct. 9, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to modernize and clarify the regulations that interpret the Medicare physician self-referral law (often called the “Stark Law”). The law prohibits physicians from making referrals for […]
Changes Coming to Office Visit Codes Question: At my family practice’ office visit code, my office manager and I have recently been debating over coding. She reports that the new coding system has changed our typical 99214 visits into 99213s. For example, I see a patient for routine follow-up on three or more chronic conditions. […]
Chiropractic Medicare changes in 2020 come in the form of imaging orders, MBIs and other documentation It is hard to believe that the end of another year is just around the corner. This is a busy time in health care, and it is important to ensure your chiropractic practice is ready for two key changes. […]
In addition to patient billing and policy, healthcare M&A and workforce diversity will also be major trends going into the new year, according to PwC’s Health Research Institute. Patient billing, policy and regulation, healthcare mergers and acquisitions, and workforce diversity will be some of the top priorities for provider organizations in 2020, predicted researchers at PwC’s Health […]
The American Medical Association (AMA) publishes the Current Procedural Terminology code set changes every year, usually in September, for the upcoming new year. The changes impacting CPT 2020 were released on September 4, 2019. There was a total of 394 CPT code changes, of which, 58 affect the surgery center market. 2020 CPT Code Changes […]
Let the countdown for New Year 2020 begins. This New Year will bring you a thrill of excitement for many people as they prepare to celebrate in 2020. For health care providers, treating patients never stop even for the holiday season. Here is the list of ICD-10 codes that may crop up during the ringing […]