COVID Vaccine Admininstration Coding

Get the Correct COVID-19 Vaccine Administration Code and Pay

You MUST use a totally different system to get paid and code for COVID-19 vaccine administration; unlike other vaccines that use generic administration CPT codes, coronavirus vaccine reporting requires unique codes. Get up to speed now on the available vaccines and how to report them correctly from your very first claim without over billing. There […]
2021 E/M MDM Guidelines Data

2021 E/M MDM Guidelines: Justify Data Score, Correctly Credit Tests

You can get more credit towards higher levels of medical decision making (MDM) using 2021 E/​M data guidelines that allow you to give more points for tests that your provider orders and/​or reviews. The money is just waiting for you to take it. Getting paid accurately for your office visits in 2021 hinges on your […]
2021 E/M Guidelines for medical decision making

Avoid Pay Loss from 2021 E/M Guidelines for Medical Decision Making

The new 2021 E/​M coding guidelines give you the option of using either time or medical decision making (MDM) to choose the proper code level for office visits. And while time-based coding may be simpler, it’s not always the best choice. Solely follow the clock, and you could cheat yourself out of valuable reimbursement. Three […]
2021 CPT Coding Changes

CPT 2021: Ace Your Lab, Debridement, and Diabetes Coding Changes

You’ve got to implement the 300 plus CPT 2021 coding changes by January 1, 2021, or you’ll face emotional and financial losses. Save yourself hours of chasing denials and payments by getting up to speed now on the new, revised, and deleted codes for drugs, ortho, diabetes and more. For help on the massive E/​M […]
Shoulder unbundling errors

Head Off Revenue Losses Due to Shoulder Unbundling Errors

You don’t want to miss billing an allowed shoulder procedure and leave thousands of dollars on the table. But it’s imperative that you avoid shoulder unbundling errors – or your repeated billing of included charges can land you with costly denials, and accusations of abuse or fraud. It’s critical that you know when to legally […]
CPT EM 2021 Medical Decision Making

New 2021 Medical Decision-Making Factor

QUESTION: Our clinic is seeing more and more people who lack adequate food and housing. Sometimes this impacts the physician’s plan and assessments. The physicians are concerned that there is high risk for the patient not being able to carry out the needed health requirements. Is there any way for us to give the physicians […]
CPT Code 99072 COVID PPE

Get Paid for Coronavirus Prevention – New Code Notification

Your cry that COVID-19 is costing you time and money has been heard. Now, you could be compensated for the extra expense that your practice spends on creating a safe environment for your patients and staff. Recently, the AMA created new CPT code 99072 to reimburse you under these circumstances. Below, find out exactly how […]
2021 EM Coding Changes

CMS Rule: Prepare for Huge 2021 E/M Code Changes

You’ve been anticipating the CPT 2021 E/​M coding changes and holding your breath on whether your payers will follow suit. Now with the 2021 proposed Medicare Physician Fee Schedule you can count on at least your MAC to align its coding and payment rules with AMA’s rehauled guidelines. The updates will shake up your E/​M […]
CPT code 99441 telehealth

Collect $46 for Telehealth CPT Code 99441 vs 99213

QUESTION: Our patients really love the convenience and safety of telehealth, and we are planning to continue offering the services long-term. Can you provide us with some clarification on how to use CPT code 99441-99443 vs 99201-99215 when the video exam is not straightforward? Some example include:  What if there are technical issues and the […]
CPT code 99211 specimen collection

Telehealth Plus Specimen Collection: Prevent Revenue Loss

QUESTION: Our doctor performed a telehealth exam that resulted in the patient coming into the office later that day for an in-person COVID-19 test. Can we bill CPT code 99211 for the specimen collection AND 99203 for the telehealth encounter when they occur on the same day? If so, should modifier 25 be added to […]