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Question: What documentation criteria are required to report CPT critical care codes 99291-99292?... More

Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More

Benchmark of the Week

Practices have learned to avoid coding mistakes that trigger denials of advance care planning (ACP) services (99497-99498). The time-based services were introduced in 2015 and Medicare covered the cod... More

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Question: What documentation criteria are required to report CPT critical care codes 99291-99292?... More

NPP Report

Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More

Benchmark of the Week

Practices have learned to avoid coding mistakes that trigger denials of advance care planning (ACP) services (99497-99498). The time-based services were introduced in 2015 and Medicare covered the cod... More

After FTC rule bans noncompetes, legal expert discusses impact on health care

by: Roy Edroso

Breaking: More than 250 new ICD-10 codes proposed for Oct. 1

by: Megan Herr and Julia Kyles, CPC

Conversion factor update: New $33.2875 fee reflects 9-month boost

by: Julia Kyles, CPC

Give providers an illustrated guide to the new SDOH risk assessment code

Make sure your physicians and qualified health care professionals (QHP) are ready for their crucial role in reporting G0136 (Administration of a standardized, evidence-based Social Determinants of Health [SDOH] Risk Assessment tool, 5-15 minutes, not more often than every 6 months).

Cultivate Medicare prolonged service rule compliance with a decision tree

Use this decision tree to illustrate Medicare’s rules for coding prolonged E/M services. Medicare created codes and rules for prolonged services performed by a physician or qualified health care professional (QHP) because it disagrees with portions of the CPT guidelines.

Advance care denials dropped as utilization surpassed 2.4M claims

Practices have learned to avoid coding mistakes that trigger denials of advance care planning (ACP) services (99497-99498). The time-based services were introduced in 2015 and Medicare covered the codes in 2016.

Virtual check-in, e-visit codes opened strong in 2020, then collapsed

There was a burst of enthusiasm among providers when e-visits became billable to Medicare at the outset of the COVID-19 pandemic, but that excitement quickly waned and hasn’t bounced back.

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Advanced Specialty Coding Virtual Summit: Orthopedics

VIRTUAL

Advanced Specialty Coding Virtual Summit: Pain Management

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