As we forge ahead into 2023, audiology practices face a myriad of challenges. The growing prevalence of hearing loss, rapid technological advancements, and changing market dynamics are just a few of the many hurdles that audiologists must overcome to thrive in an increasingly competitive environment. With an estimated 466 million people worldwide suffering from disabling […]
In recent years, there has been an increase in scrutiny regarding the use of modifier -25 to identify separate evaluation and management (E/M) services on the same day as another procedure. Insurers are now demanding documentation of such services both before and after payment, leading to a significant administrative burden for urology practices. The reason […]
CPT code 99214. Is that Jean Valjean’s number? No. It is an evaluation and management (E&M) code of moderate complexity. Few CPT® codes cause goosebumps, a chill in the air, and a pit in your stomach besides CPT code 99214. It is an E&M code of moderate complexity. For a low-complexity visit, the code decreases […]
It may become common practice to identify genetic abnormalities prior to the development of manifestations. The March 2023 ICD-10-CM Coordination and Maintenance Committee Meeting presented me with a dilemma (Topic packet March 8, 2023, ICD-10-CM Coord & Maint Cmte Meeting). Now that we have the technology to unravel the genetic basis for conditions, are we […]
On March 14, 2023, the U.S. Food and Drug Administration amended the emergency use authorization (EUA) of the bivalent Pfizer-BioNTech COVID-19 vaccine to allow providers to administer a booster to certain young patients. As a result, on March 17, the American Medical Association (AMA) released a new CPT® code for booster administration. Here’s what you […]
Physicians need to keep their billing and coding right to ensure seamless reimbursements from payers. Similarly, they should stay updated with the latest coding changes to keep their revenue cycle intact. In addition, running a successful medical practice is a daunting task as the providers need to stay updated with the industry guidelines. The year […]
Adjustments to evaluation and management codes will require a period of adaptation. Within the CPT 2023 update, medical coders will encounter 101 fresh codes interspersed within the existing code set. However, it is the modified and removed codes that demand your utmost scrutiny. Deleted CPT Codes for 2023 To comprehend the altered evaluation and management […]
What a difference 15 minutes can make when billing E/M services. The Centers for Medicare & Medicaid Services (CMS) issued a notice March 14 correcting several errors in the 2023 Medicare Physician Fee Schedule (MPFS) final rule. Most notably, CMS is correcting technical errors in the calculations of the time thresholds for reporting evaluation and […]
Medical coding strategies contribute various benefits, counting cost reduction and control, systematic healthcare management, and increased scalability. Compliance with medical coding qualities also promises patients’ data privacy and security and alleviates the threats of audits. In the current healthcare landscape, keeping up financial solidity has become progressively hard due to the shift from fee-for-service to […]
In essence, rediology coding is the process of translating medical procedures performed in radiology into universal alphanumeric codes. These codes are crucial for billing purposes, as they determine the reimbursement received by healthcare providers from insurance companies. Adhere to the guidelines provided by CPT®, ACR, and payers to ensure precise reporting and appropriate reimbursement. Diagnostic […]