Tag: Medicare Reimbursement

Medical coding challenges

2025 Coding Challenges: Strategies for Success

It is predicted that the healthcare industry will continue to evolve rapidly as we enter 2025. Medical coding, one of the cornerstones of healthcare administration, faces unique Coding challenges that require innovative strategies to succeed. For organizations to maintain accuracy, compliance, and efficiency, it is imperative to stay current with the changing regulations, technological advances, […]
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Healthcare Coding updates

2025 CPT, ICD-11, and HCPCS Updates: A Guide for Providers

Healthcare providers need to stay informed about Healthcare Coding Updates to the Current Procedural Terminology (CPT), International Classification of Diseases (ICD-11), and Healthcare Common Procedure Coding System (HCPCS) in the ever-evolving world of medical coding and billing. To ensure accurate coding and maximize revenue cycles, we must understand these Healthcare Coding Updates as we enter […]
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Mastering Chronic care management codes

Chronic Care Management Codes: A Comprehensive Guide

Chronic Care Management codes are increasingly being adopted by healthcare providers to address care fragmentation for patients with multiple chronic conditions. However, a recent study published in the American Academy of Family Physicians suggests that while CCM is gaining traction, challenges persist in its implementation and reimbursement. A Growing Trend The study, which analyzed Medicare […]
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medicare telehealth policy changes

Medicare Telehealth Policy Changes: What Patients and Providers Need to Know

Medicare Telehealth Policy Changes are set to reshape the landscape of telehealth services. As the COVID-19 public health emergency ends, Medicare will revert to pre-pandemic policies, imposing stricter rules for telehealth services starting January 1, 2025, unless Congress intervenes. Key changes include: Geographic Restrictions: Patients must generally live in a health professional shortage area, a […]
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Medicare Physician Reimbursement Cuts

Medicare Physician Reimbursement Cuts Threaten Patient Access to Care

With over 67 million Americans—nearly 20% of the population—relying on Medicare, the program plays a crucial role in ensuring access to quality healthcare. Unfortunately, looming Medicare physician reimbursement cuts threaten to undermine this vital service, potentially leading to reduced access to care and compromised patient outcomes Medicare physician reimbursement cuts, such as the proposed 2.8% […]
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Medicare payment cut

Medicare Payment Cuts Hit Physicians: 2.93% Reduction in 2025

Medicare payment cut: The Centers for Medicare & Medicaid Services (CMS) has released its proposed rule for the 2025 Medicare Physician Fee Schedule (MPFS), which includes a 2.93% average payment rate reduction for physicians. This comes despite the agency’s stated commitment to advancing health equity and supporting whole-person care through initiatives like strengthening primary care […]
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independent-medical-practices

Maximizing Medicare Reimbursement: Strategies for Independent Practices

In the wake of the COVID-19 pandemic, independent medical practices face many challenges, from adapting to new healthcare methods to major regulatory changes. The main focus of this study is to increase Medicare spending. With the right strategies, independent medical practices can achieve financial sustainability while continuing to provide quality care to their patients. This […]
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Boost Reimbursement with G2211 Add-On Code

Medicare Billing Update: Boost Reimbursement with G2211 Add-On Code

To capture Medicare reimbursement for complex Medicare patient visits, you must know when to use this G2211 Code add-on code. To report the additional time, effort, and related practice expenses associated with caring for Medicare patients across the continuum of care, qualified healthcare providers can begin billing HCPCS Level II codes on Jan. 1, 2024. […]
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2024 Medicare physician fee schedule

Medicare CY 2024 Proposed Rule: Impact, Reimbursement Changes, and Key Insights

On July 13, Medicare released its Proposed Rule, which outlined changes to different Medicare programmes including as quality programmes, MIPS, rural employment, telemedicine, and others. This comprehensive yearly document of 2,033 pages covers the planned programme adjustments for fiscal year 2024. Between the release of the Draft Rule and the publishing of the Final Rule […]
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