Learn the rules of coding with time

Using time to determine evaluation and management code levels THE AMERICAN MEDICAL ASSOCIATION (they own the CPT code set) in January of 2021 changed the criteria for determining the proper…

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Why physicians are key to successfully navigating payor audits

Just when you think your practice is running without a hitch, it happens. You receive notice of an audit from one or more of your payors, demanding detailed records on…

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AHA, AMA sue Biden admin to challenge surprise billing arbitration process

The American Hospital Association (AHA) and the American Medical Association (AMA) have filed a joint lawsuit against the federal government, challenging the Biden administration's implementation of the No Surprises Act.…

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AMA releases 2022 CPT code set

Innovative work to meet the urgent public health need for streamlined reporting and tracking of COVID-19 vaccinations is presented in today’s release of the 2022 Current Procedural Terminology (CPT®) code…

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Learn about 4 new CPT codes to bill for collaborative care

Your practice is considering making a move—or has moved—to a collaborative care model so patients have greater access to mental health care in the primary care setting. It’s a model…

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Clarifications make E/M changes easier to implement

Refinements continue for the evaluation and management (E/M) office-visit and outpatient documentation and coding reforms that took effect this year, and these include technical corrections updates to the Current Procedural…

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CPT code approved for SARS-CoV-2 antigen testing

The AMA Current Procedural Terminology (CPT®) Editorial Panel has adopted a new CPT code to report antigen testing of patients suspected of SARS-CoV-2 infection. The code joins other COVID-19 testing…

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Underutilization of ICD-10-CM Z Codes for Medicare Beneficiaries

CMS report is based on 2016-2017 data. It’s been two years since the American Hospital Association (AHA) shouted from the rooftops that documentation by any interprofessional team would be accepted…

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Read more about the article What are Category III codes and how are they best used for billing?
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What are Category III codes and how are they best used for billing?

Current Procedural Terminology codes provide a uniform language for reporting medical services and procedures provided by members of the medical community. The codes are copywritten and managed by the CPT…

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AMA Offers Checklist for E/M Coding and Documentation Changes

The American Medical Association (AMA) recently issued a checklist for physician practices to use when adopting evaluation and management (E/M) coding and documentation changes slated to take effect next year.…

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E/M prep: Avoid these pitfalls in move to new office-visit codes

New Medicare office-visit coding guidelines take effect Jan. 1, 2021, and are designed to be more intuitive and make unnecessary documentation tasks go away. Experts believe the transition will be…

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The Vaping Epidemic Worsens

Confusion persists for the coding of vaping. The issue of vaping continues to generate national and international headlines. On Sept. 18, a teen from London, Ontario in Canada suffered a…

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AMA Seeks Alternative Payment Models for Vulnerable Populations

In an effort to reduce healthcare disparities, the American Medical Association (AMA) recently vowed to support the creation of new alternative payment models that specifically address the outcomes of high-risk…

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