Category: Medical Coding

IVIG Medicare Payment Update

Medicare Updates IVIG Demonstration Payment for 2023

Healthcare providers submitting claims for services, supplies, and accessories ordered under the Medicare Intravenous Immune Globulin (IVIG) Demonstration can expect to see an approximate 2.1 percent payment increase over last year. The calendar year 2023 rate for HCPCS Level II code Q2052 is $392.56, compared with $384.59 in 2022. What is the Medicare Intravenous Immune Globulin Demonstration? […]
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New-Diagnosis-Codes-For-2023

New Diagnosis Codes For 2023 With A Focus On SDoH

On April 1, your revenue cycle will have additional diagnosis code options to further capture social determinants of health. The CDC just released upcoming changes to both the ICD-10-CM diagnosis code set and the official coding guidelines. The new changes include 42 diagnosis code additions, seven deletions, and one code revision. All changes will go […]
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New-Coding-Classifications-for-2023

New Coding Classifications for 2023

Update your facility-specific guidelines accordingly for 2023. Although the new calendar year is not the beginning of the federal fiscal year, there are coding classifications and terminologies that changed on Jan. 1, 2023. Current Procedural Terminology® (CPT) and Healthcare Current Procedure Coding System (HCPCS) have releases that went out on Jan. 1. There are also […]
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2023-Telehealth-Service-Codes

The 2023 Telehealth Service Codes Physicians Need to Know

Question: Could you kindly provide us with the updated telehealth services codes for the year 2023? Response: Regarding Medicare Telehealth Services for the year 2023, the Centers for Medicare and Medicaid Services (CMS) are introducing fresh Healthcare Common Procedure Coding System (HCPCS) codes to the compilation of Medicare telehealth services. More precisely, the subsequent HCPCS […]
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Latest-Guidelines-for-Coding-EM-services-in-2023

Latest Guidelines for Medical Coding E/M services in 2023

A thorough understanding of the latest guidelines for coding evaluation and management services is necessary to ensure compliant claims. You’ve likely heard about the 2023 CPT® changes for reporting hospital inpatient and observation evaluation and management (E/M) services. AAPC has been preparing medical coders for these changes since they were announced and started offering education […]
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Latest-Changes-in-the-CPT-Emergency-Department-Subsection

Latest Changes in the CPT® Emergency Department Subsection

Attendees at AAPC’s AUDITCON, Nov. 3-4, 2022, came loaded with questions about the coding and guideline changes for evaluation and management (E/M) services in CPT® 2023. The conference offered several sessions on the subject, including the ED session, “Changes in 2023: Emergency Department,” presented by AAPC Chief Product Officer. The officer provided a high-level overview […]
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rule-to-improve-prior-authorization-process

CMS Proposes Rule to Expand Access to Health Information and Improve Prior Authorization Process

The proposed rule seeks to reduce administrative burdens and address delays in patient care. The Centers for Medicare & Medicaid Services (CMS) announced a proposed rule on Dec. 6, 2022, aimed at improving the prior authorization process and interoperability between providers, payers, and patients. The Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule (CMS-0057-P) […]
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Top-Challenges-for-Care-Management-Coding-in-2023

Top Challenges for Care Management Coding in 2023

Providing care management services, including chronic care management (CCM) and principal care management (PCM), is not easy. The first overarching challenge is that not enough patients actually participate in care management with a primary care physician. In fact, A recent report from the Primary Care Collaborative and the American Academy of Family Physicians’ more Americans […]
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