Coding

Coding

5 Steps Prevent Overcharging COVID-19 Testing

If your practice is testing patients for COVID-19, you’ve got a bunch of new codes and payment rules that you need to follow, so you get paid on time, every time – without violating kit reimbursement law. In the past few weeks, CMS has released a significant amount of guidance on COVID-19 coding and co-pay […]
telehealth incidentto hospital

Get Paid for Remote Services for Your Hospitalized Patients

QUESTION: We are really confused on the constant telehealth regulatory changes. Our providers understand that new codes qualify with less supervision – and even without audio. We have several elderly patients who require ongoing care. Can you provide us with some recent options for CMS paid telehealth so we can continue to care for our […]

Claim Denial Telehealth: Check 2 Items Before Refiling

QUESTION: How can we avoid denials for telehealth claims including modifiers? We just received our first denial for a telehealth service using audio-visual. The claim was filed with office visit code 99212, place of service 02 for telehealth and modifier 95. Can you tell us what we did wrong so that we can get paid […]

Cheat Sheet Masters Emergency Telemedicine Policies Coverage

Your head is spinning as you try to recommend remote service solutions to your providers. To make an intelligent presentation to your doctors, you need to do some homework, so you’re getting the coverage you expect and avoiding hot-water regulations. Get a jump start with expert practice management and reimbursement tips from nationally-recognized coding and […]

Virtual Care Tactics That Net You More Pay

Knowing how to correctly code, bill and get paid for remote services (telemedicine) might be the only way your practice can continue to provide services to your patients without risking the spread of COVID-19. Telehealth services reimbursement has become an overnight necessity for many practices with the recent highly-infectious coronavirus outbreak. The challenge is that […]

3 Audit-Proof Telehealth Scenarios That Count as High-Paying 99201-99215

QUESTION: The telehealth rules indicate the service must be patient initiated. What does this mean? We are a pulmonology specialty group and are considering seeing new patient referrals and established patients by Skype. How can the new patient visits meet the office visits’ exam requirements?                      […]

Master 4 FAQs, Increase Your Telehealth Reimbursement

With telemedicine rules changing daily, you’ve got to have a solid foundation in telehealth guidelines, so you can make the most of adding these services compliantly to boost your pay during the COVID-19 pandemic. To help healthcare practices treat more patients virtually, Congress passed legislation that allowed the U.S. Department of Health and Human Services […]
psychotherapy CPT

2 Proven Strategies Boost Psychotherapy CPT Code Pay

Stop leaving dollars on the table for mental health services for intake and time. You can add hundreds in revenue using psychotherapy CPT coding tips. Implement these expert tactics to up your reimbursement without attracting unwanted audit attention. Bill New Intake Session after Patient Absence (Codes 90701, 90792) Because many plans pay more for CPT® […]
CPT Code 99211 Nurse Visit BP

Inject $20K in Your Practice for Nonphysician Work

You are losing $15 every time you fail to report CPT code 99211 for eligible services. That means, in a single year, you are missing $20,000 for nonphysician services you already provide. Don’t avoid using 99211 due to your fear of denials and audits. You can boost revenue by learning when to compliantly use this […]

5 Tips Audit-proof Your Remote Patient Monitoring Coding and Billing

An easy way to add $122 per patient per month for services you already offer is to capture 2020’s new and revised CPT codes for remote patient monitoring. But be sure you can keep your hard earned money by reporting compliant, documentation supported claims. With the increasing amount of patients having wearable devices such as […]