Modifier 25 is a particularly meaningful coding tool for physicians who bill for evaluation and management (E/M) services. CPT guidelines define the 25 modifier as “Modifier 25 is defined as…
COVID-19 data reporting will no longer be voluntary for hospitals participating in Medicare and Medicaid programs, according to a new interim final rule from CMS. The rule released yesterday updated…
Centers for Medicare & Medicaid Services are proposing to eliminate the inpatient-only list over the next three years. Medicare’s often-misunderstood inpatient-only list may soon be departing, as the Centers for…
The COVID-19 pandemic has driven digital transformation across healthcare at an unprecedented speed. Telemedicine has emerged as an essential tool for maintaining patient/doctor communication during the crisis, enabling clinicians and…
Under normal circumstances, the biggest difficulty practices encounter when trying to engage in physician education is timing. Coordinating everyone’s schedules, pulling providers out of the operative and visiting rooms, and…
Physicians and parents are warned about the re-emergence of this illness. In October 2018, ICD-10monitor reported initially on acute flaccid myelitis (AFM). The Centers for Disease Control and Prevention (CDC)…
The Centers for Medicare & Medicaid Services (CMS) in the past week has proposed Medicare payment rules for outpatient services and physicians for 2021 and finalized payment rules for inpatient…
Most of the physicians lose a significant amount of revenue every year due to minor and major mistakes that cause errors while filing medical claims. A minor write-off in physician…
HHS announced Aug. 14 that it is sending $1.4 billion in COVID-19 relief funds to 80 children's hospitals. Here are five things to know about the distribution of the relief…
On August 3, the Centers for Medicare and Medicaid released the proposed 2021 Medicare Physician Fee Schedule that sets Medicare payment and quality provisions for physicians in 2021. The 2021…
There is no such thing as a coder who knows it all. If your coder claims to be able to code every specialty, and you let them, you might want…
The confusion over what code to use when hospital-employed physicians perform virtual visits with patients has reared its head again in the latest FAQ from Medicare (released on July 28).…
Not even six months ago, telemedicine served as a supplement to a hospital’s digital strategy. It was more of a novel offering, considered a nice-to-have or an add-on — not…
Many of us have been immersed in COVID-19 and telehealth billing, coding, and the varying rules among payors of late, all the while the clock has remained ticking on the…
The terms closed and open are major players for traumatic fracture diagnosis coding. Brush up on some basics with this focus on ICD-10-CM coding for rib fracture initial encounters. First,…
Due to the consistent changes in the federal rules & regulations and payer’s policies, the physician billing services are getting complicated on a daily basis. The cacophony of codes can…