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Coding

Coding

cpt 2025

CPT 2025 Includes Updates Affecting RTM, Lab Analyses & More

Practices that have been eagerly awaiting the debut of CPT 2025 are in luck — the American Medical Association released the new code set on Sept. 10, which includes 420 changes to your procedure codes. Check out three big changes to CPT 2025 that take effect Jan. 1, 2025. 1. Most Changes Affect Lab Analyses, […]
Published Date: September 16, 2024
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Place of service codes

Tips for Using Place of Service Codes—Including the Newest One

It’s not every day that CMS releases new place of service codes, but on August 9th, the agency issued one that every healthcare provider should know. Check out details of the new POS code, along with tips on using place of service codes so you can get paid for your services. Welcome POS 66 Last […]
Published Date: September 4, 2024
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Icd-10-cm guidelines

Prep for These 2025 Changes to the ICD-10-CM Guidelines

You’ve got less than a month to prepare for the new diagnosis codes. And while you’re committing them to memory, it’s also important to familiarize yourself with the 2025 ICD-10-CM Guidelines. Just as the codes are updated every October 1st, so are the guidelines, which provide instructions on sequencing, submitting secondary codes and other important […]
Published Date: September 3, 2024
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G2211 reimbursement

Some UHC Plans to Stop Reimbursing G2211: Will It Affect You?

Even though G2211 has only been payable since the beginning of the year, many practices have gotten accustomed to the additional $16.05 in G2211 reimbursement with certain E/​M services. Unfortunately, one payer wants to limit practices from collecting for this service in some circumstances. Read on to get the lowdown on how a new decision […]
Published Date: July 22, 2024
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99211

99211 Documentation Checklist to Back Up Every Nurse Visit

Auditors routinely agree that when they review E/​M notes, they tend to find that documentation for nurse visits (99211) is too brief. Even though these visits may actually be short and uncomplicated, your documentation must always demonstrate medical necessity for what was done. Consider these documentation guidelines for your nurse visits when you report 99211. […]
Published Date: June 17, 2024
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Diabetes screening

Medicare Announces NEW Coverage for Diabetes Screening

It isn’t often that CMS expands its screening coverage to pay for more tests, but that time arrived earlier this month, when the agency announced upgraded Medicare pay for an additional diabetes screening test. The agency also slightly changed the diabetes screening guidelines to make them more favorable and easier to follow. Find out what […]
Published Date: May 21, 2024
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CPT 2025

Sneak Peek: CPT 2025 to Include Plethora of New Codes

Eye screenings, hearing device services, lab codes and more are expected to join the new edition of CPT when it debuts later this year. Although the American Medical Association hasn’t officially released the new codes, it is possible to get clues of what you can expect by reviewing the CPT 2025 Editorial Panel’s latest decisions. […]
Published Date: May 13, 2024
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New icd-10-cm codes

CMS Proposes Over 200 New ICD-10-CM Codes for 2025

If you’re hungry for a new crop of diagnosis codes, you may be in luck this October, assuming the newly-proposed diagnosis codes become actual, finalized new ICD-10-CM codes. Background: On April 10, CMS released the FY2025 Hospital Inpatient Prospective Payment System proposed rule for 2025, and tucked within the rule was a file sharing the […]
Published Date: April 23, 2024
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Critical care codes

3 Important Facts About Billing Critical Care Codes 99291-99292

Reporting the critical care codes (99291-99292) can lead to mass confusion for many coders and billers. After all, these services are considered both inpatient care and E/​M services — but they follow slightly different rules than most other inpatient E/​M codes. To get a handle on how to report the critical care codes at your […]
Published Date: April 15, 2024
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2024 ICD-10-CM

Ace the April 2024 ICD-10-CM Changes Before Next Week

Every medical coder and biller knows that the best way to justify medical necessity in your claims system is to use the right diagnosis codes. And while the 2024 ICD-10-CM codes were released last fall, CMS recently issued an April update that could turn your coding processes upside-down. Check out several April 2024 ICD-10-CM changes […]
Published Date: March 26, 2024
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