This is important. Unless you know what to do, two major coding changes will severely impact the thousands in additional E/M reimbursement you’ve been receiving this year due to code G2211:
- UnitedHealthcare Commercial: Effective September 1st, these contracts will no longer pay more for code G2211 with your E/M services – and other commercial carriers are expected to follow suit.
- CMS 2025 Fee Schedule: Newly proposed coding requirements will make getting paid more for your E/M services with code G2211 more complicated and confusing.
But there is good news. Coding expert Toni Elhoms, CCS, CPC, CPMA, CRC, CEMA, AHIMA-Approved ICD10-CM/PCS Trainer, will show you how to reduce your G2211 losses and receive more of the E/M Services reimbursement you are rightfully due during her exclusive 60-minute online training on Thursday, September 19th at 1pm ET.
Below you’ll find just a few of the essential G2211 strategies you’ll receive by attending this expert-led training:
- Ethically maximize reimbursement for payers that still reimburse G2211
- Prevent G2211 modifier mistakes and receive higher payments
- Pin down how to get UHC’s Medicaid’s G2211 reimbursement
- Halt UHC’s edit bundling rules from getting your entire claim denied
- Overcome G2211 complexities in CMS’s 2025 CMS Fee Schedule
- Steer clear of G2211 documentation pitfalls to justify medical-necessity
- Uncover all possible specialties that are allowed for additional E/M reimbursement
- Avert audits by pinpointing G2211 errors that will get you flagged
- Clarify “longitudinal period of care” qualifications to support G2211 payments
IMPORTANT: UnitedHealthcare’s decision to end G2211 payments effective September 1, 2024, means you can expect a sea of denials and a significant amount of lost reimbursement. While this recent ruling doesn’t apply to UHC’s Medicare plans, it does affect your employer-sponsored UHC plans and many independent UHC programs that patients acquired through the health insurance marketplace.
Join Toni’s online training event to protect your practice from losing the G2211 reimbursement you rightfully deserve. Register for this training as soon as possible to ensure your attendance.
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Toni Elhoms is an internationally known speaker and recognized subject matter expert on medical coding, reimbursement, and revenue cycle management. She is the Founder and CEO of Alpha Coding Experts, LLC. She holds multiple credentials with the American Health Information Management Association (AHIMA) and the American Academy of Professional Coders (AAPC).
With over a decade of industry experience, she has led and supported hospital systems, universities, physician practices, payers, law firms, government agencies, and other entities on coding, billing, and compliance initiatives. She is a frequent contributor to various media outlets, speaker, and regular guest on industry podcasts. She created the Alpha Coding Podcast series to share her industry Pro-Tips. She also leads and mentors a network of revenue cycle management professionals across the country and serves as the President of the Orlando, FL AAPC Chapter.
