Major changes are found in the 2021 Evaluation and Management guidelines. As we enter the final quarter of 2020, I hope everyone is committed to being prepared for the 2021…
Medicare audits expected soon.Federal healthcare audits have resumed, and they are not limited to durable medical equipment (DME) or any one specific group of providers, any one type of contractor,…
After the tumultuous transition to the 10th International Classification of Diseases, simply saying the phrase “ICD-11″ is liable to strike fear in the hearts of medical providers across the country.…
Betsy Nicoletti, MS, a nationally recognized coding expert, will take your coding questions via email and provide guidance on how to code properly to maximize reimbursement. Have a question about…
There’s no denying it – telehealth is having a moment. As providers continue to encourage patient safety through social distancing measures related to COVID-19, patient care conducted through telehealth has…
COVID-19 seems like the final nail in the coffin for independent practices. Devastating financial losses from the start of the pandemic, stagnating patient volumes, and a new appetite for virtual…
According to ICD-10, gone are the days when you had to be chemically dependent on a substance in order to experience withdrawal (I will defer my criticism of that logic…
New study reinforces SDoH impact Focus on the social determinants of health (SDoH) continues to intensify nationwide, and that means potentially higher costs of care for healthcare organizations. The recent…
New Current Procedural Terminology (CPT®) codes have been created that streamline the novel coronavirus testing currently available on the United States market. Among these is a new code to describe…
COVID-19 has continued to spread across the nation, with the current focus shifting to how we can safely return to the office, open schools, play fall sports and more. But…
The nation's largest physician association is seeking to establish a path to payment for extra practice expenses required to care for patients during the COVID pandemic and possible future public…
Findings of a new study demonstrate using ICD 10-based codified algorithm to identify rheumatoid arthritis patients in a claims database has high accuracy. The results, presented at the 14th Annual…
The Inpatient Prospective Payment System (IPPS) Final Rule for the 2021 fiscal year has been finalized, including updates to the guidelines that need to be implemented for ICD-10-CM and PCS.…
Nonradiographic axial spondyloarthritis (nr-ax-SpA) will have an ICD-10 code come October. And that gives patients with the condition a chance to feel empowered knowing their diagnosis is accurate. When vendors…
The American Medical Association (AMA) today published an update to the Current Procedural Terminology (CPT®) code set that includes two code additions for reporting medical services sparked by the public…
Even the most vocal critic of the American health care system cannot watch coverage of the current Covid-19 crisis without appreciating the heroism of each caregiver and patient fighting its…