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2021 prolonged service changes

CPT Code 99417 Reimbursement Update: Get $20 for New 2021 Prolonged Service Changes

Update Notice: 2021 prolonged service changes. Important: This information was updated for accuracy on April 28th, 2021. The guidelines for counting total time for CPT code 99417 were revised to bring clarity around what can be included regarding patient education during a patient visit. You’ll find this update in the “Add Direct Plus Certain Indirect […]

Get Paid for 60 New Telehealth Codes in 2021

After a year of constant updates, the rule changes for telehealth coding have “finally” been finalized in the 2021 Physician Fee Schedule final rule. Keep reading to ensure you’re getting paid for every service—including the newly reimbursable telehealth codes. CMS Adds Services to Telehealth List. Beginning January 1, 2021, the list of services reimbursable when […]
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 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 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 […]
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 […]
virtual check-in CPT code G2012

Boost Virtual Care Payup by $15 for Emails, Appointment Checks

Getting your practice back on firm financial footing post-lockdown will take more than just calling patients to reschedule canceled appointments. Although the U.S. is reopening, many patients still don’t feel comfortable visiting your practice, unless they absolutely have to. What’s the long-term solution? More virtual services and non-face-to-face care into your practice workflows may be […]
Chronic Care Coding

CCM Requirements: Boost Payup with Chronic Care Coding Mastery

Update Notice: This content was updated to reflect the 2021 CPT code changes for Chronic Care Management. Specifically, the update includes the replacement of code G2058 with code 99439 and the nuances surrounding the change. The updates to this article are indicated in blue to make them easy to identify. Chronic Care Coding. As your chronic […]