The spotlight is on your revenue cycle’s coding team as COVID-19 reporting sheds light on a multitude of post-acute conditions brought on by the virus. A recent study published in the Journal of the American Medical Association Network Open...
More InfoProviders are currently stuck with outdated templates, leaving plenty of room for improvement. I thought it might be appropriate to take a “four score and seven years ago” look across evaluation and management (E&M) services, looking at what...
More InfoWhile the Moderna COVID-19 vaccine for young children has yet to receive FDA authorization, AMA has created a CPT code to ensure healthcare professionals are prepared for the shot’s potential use. The American Medical Association (AMA) has...
More InfoAlthough health plans aim to promote value-based care with prior authorization requirements, providers and patients may experience negative repercussions from the process. Prior authorization negatively impacted patients and providers alike by...
More InfoAMA updated the CPT code set to accommodate the new mix-and-match COVID-19 vaccine booster strategy endorsed by the federal government. The update comes on the heels of a decision from the Federal Drug Administration (FDA) to authorize booster...
More InfoHealth insurance industry consolidation continued to increase, restricting consumers’ options for coverage, an American Medical Association report argued. “As merger rumors involving health insurers swirl, the prospect of future consolidation in...
More InfoUnitedHealth Group, Anthem, Aetna, and Cigna returned to the list of the top five largest health insurers and one newcomer joined the list. UnitedHealth Group, Anthem, Aetna, and Cigna held onto their status as the top four largest insurers, but...
More InfoThe updates include unique CPT codes for a new formulation of the COVID-19 vaccine developed by Pfizer and new codes for booster doses expected to roll out later this month. The American Medical Association (AMA) has announced updates to the...
More InfoAMA announced that the CPT codes for the third doses of the Moderna and Pfizer COVID-19 vaccines are finalized and ready for the upcoming booster shot administrations. The American Medical Association (AMA) announced that the Current Procedural...
More InfoNew legislation aims to eliminate the cost-sharing requirement for Medicare beneficiaries to get chronic care management services and reimburse providers for 100% of the payment. The legislation, reintroduced Thursday, intends to boost access...
More InfoThe American Medical Association updated its Current Procedural Terminology set to include updates to coding for tests that detect influenza and COVID-19. The two new codes, per the AMA’s CPT editorial panel, are: 87636: “Infectious...
More InfoE&M codes are the most frequently used codes in any physician practice. Change is coming to the world of evaluation and management (E&M) services. With the Physician Fee Schedule Final Rule for 2020 now published, we know there are big...
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