It’s not often that CMS presents coders with a way to collect more for E/M visits, but in 2024, you’re about to benefit from a relatively new add-on code that allows you to do just that with the implementation of G2211 effective January 1. Discover the facts you must know if you want to collect […]
Providers perform diagnostic radiology services not only to evaluate a patient’s condition, but also to follow up on progress or determine whether a treatment is working. Coding these services sometimes seems straightforward, but it’s easy — and dangerous — to get complacent about radiology coding. Check out three tips that can help you ensure that […]
Every minor procedure your providers perform includes an inherent evaluation and management (E/M) portion factored into the reimbursement for it. But when you go beyond that cursory E/M work, you should be able to collect for the extra time your provider spends — and that’s where modifier 25 comes in. Although modifier 25 represents a […]
If your practice has been eagerly awaiting word from CMS about how Medicare payments would be calculated in 2024, the wait is over. The agency released its 2024 Physician Fee Schedule Final Rule on November 2, and the provisions include a 3.4% lower conversion factor of $32.7375, updates to the telehealth rules, approval of using […]
When a nonphysician practitioner (NPP) sees a Medicare patient at your practice, you can typically plan to collect a reduced rate compared to what a physician would receive for the same service. But one way you can avoid accepting 15% less pay for the same service is by utilizing incident to billing — if you […]
If your practice likes to get ahead of the curve, now’s the time to start getting to know the 2024 CPT codes. The American Medical Association (AMA) released the updated code set on September 8, revealing 230 new codes, 49 deletions and 70 revisions. Take a look at some of the highlights you’ll find as […]
Because urine drug testing (UDT) codes don’t bring in massive reimbursement on a per-claim basis, many practices think the OIG isn’t paying much attention to these services — but that misconception can get you into trouble. In fact, the OIG frequently comes after practices that incorrectly report drug testing services, not only asking for refunds, […]
When CMS debuted the JZ modifier last November, the agency gave practices until July 1 to start using it, allowing for a brief period so billers could get to know how the modifier worked. Unfortunately, some practices aren’t yet using modifier JZ, which could mean trouble starting in October—at which point Medicare payers will start […]
When the office-based E/M coding guidelines changed in 2021, coders faced a huge learning curve. It involved transitioning from selecting the right code based on history, exam and medical decision making (MDM) to choosing the most appropriate code based on either time spent or MDM only. And while coders have weathered the change by now, […]
When CMS introduced chronic pain management codes G3002 and G3003 effective Jan. 1, practices rejoiced at the new options. But coverage for these codes, as is the case with all medical claims, hinges on medical necessity. And the best way to demonstrate that is to report the most accurate ICD-10-CM codes. To correctly identify the […]
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