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Coding

Coding

Medicare coding errors

The Top Medicare Coding Errors of 2024 & How to Avoid Them

No matter how often your practice submits claims for evaluation and management (E/​M) visits, minor procedures or lab services, coding for these encounters can be confusing. And if the latest CMS Comprehensive Error Rate Testing (CERT) results are any indication, Medicare coding errors are somewhat easy to make. CMS published its 2024 Medicare Fee-for-Service Supplemental […]
Published Date: December 31, 2024
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Virtual check-in

What Are Virtual Check-ins? Know the Ropes Before Jan. 1

CPT 2025 is debuting a new virtual check-in code effective Jan. 1, which will replace existing code G2012. It’s a good idea to prepare before the new year so you’ll be able to effectively report your physician’s virtual check-in services without an issue. Get to know the documentation and coding requirements for your virtual check-in […]
Published Date: December 24, 2024
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Telehealth documentation

5 Must-Haves in Your Telehealth Documentation for 2025

Telehealth billing and coding requirements are changing in 2025, with many of the pandemic-era flexibilities that Medicare offered lifting as of January 1. If you want to continue collecting for the services that are still billable, you must ensure that your telehealth documentation is pristine. Check these five essential features you must include in your […]
Published Date: December 9, 2024
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G0556

Master New APCM Codes G0556-G0558 for Medicare Services

Primary care providers will have new options for collecting from Medicare in 2025, thanks to the addition of three new advanced primary care management (APCM) codes (G0556-G0558). These codes will go into effect on January 1, so now is the time to pinpoint exactly what’s required before you report G0556, G0557 and G0558. You’ll Report […]
Published Date: December 8, 2024
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Medicare fee schedule

3 Takeaways From the Final 2025 Medicare Fee Schedule

The 2025 Medicare Fee Schedule Final Rule included some good news and some bad news for practices. If you want to prepare for the changes that will hit January 1, now’s the time to familiarize yourself with some of the updates that will be coming your way. Check out three of the most important takeaways […]
Published Date: November 11, 2024
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Aftercare codes

3 Examples for Using the 2025 Aftercare ICD-10-CM Codes

Assigning the right diagnosis codes can be challenging enough, and when you add aftercare encounters to the mix, things may get even more difficult. Coders who have a firm grasp of how to use the aftercare codes have a distinct advantage in collecting for follow-up visits after an acute illness has resolved. Check out three […]
Published Date: October 6, 2024
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G2211

5 Compliance Considerations for Practices Reporting G2211

Ever since the beginning of 2024, practices have been able to report G2211 to collect extra cash for longitudinal care performed with E/​M visits. Since not every patient qualifies for this service and not every insurer will pay it, you must heed some guidelines before you bill this add-on code. Check out five compliance considerations […]
Published Date: September 23, 2024
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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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