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Question: I have seen stories in the press about practices charging “administrative fees” for calls, emails and texts from patients. I can’t see how this would be allowed by insurers... 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

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.... More

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Question: I have seen stories in the press about practices charging “administrative fees” for calls, emails and texts from patients. I can’t see how this would be allowed by insurers... 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

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.... More

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

Latest on Change Healthcare hack: Part B providers not offered advanced payments, must seek alternative recourse

by: Roy Edroso

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.

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.

X-tra special: 59-alternative X modifiers dial back the denials

When practices turn to a substitute for modifier 59 (Distinct procedural service), two options from the series of Medicare-approved X[EPSU] modifiers stand high above the rest, and in most cases the claims-approval rates are superior.

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Advanced Specialty Coding Virtual Summit: Orthopedics

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Advanced Specialty Coding Virtual Summit: Pain Management

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