Category Archives: Coding & Billing
Do I Really Need Billing Policies?
Call us nerds but we’re fans of having policies & procedures. They’re not a magic bullet by any means, but they do provide a framework for operating that accomplishes two things: P&P force practice leaders to consider and document business … Read Full Post
PHE Extended but Experts Urge Planning for the End
After some speculation about the end on April 16th to the public health emergency enacted since the start of the COVID-19 pandemic, the Department of Health and Human Services just extended the PHE for another 90 days. However, experts have … Read Full Post
Did you know….CMS must pay you interest on late payments?
When a provider submits a claim to CMS, the payor must remit payment within the applicable number of days. If the claim is not processed per established timeframes, CMS must pay interest on the unpaid balance (the current rate through … Read Full Post
CMS Changes Telehealth Modifier
By all accounts, telemedicine is here to stay (for now) and in addition to the unique codes for audio/video and audio-only visits, CMS has released a new modifier. Effective January 1, 2022, modifier -93, Synchronous telemedicine service rendered via telephone … Read Full Post
No Surprises Act Took Effect in January
Many of us love surprises except when it comes to medical costs. The No Surprises Act, which went into effect on January 1st, aims to restrict surprise billing for patients in employer-sponsored and individual health plans and those who are … Read Full Post
Make 2022 YOUR Year: Set Goals to Tackle Billing No-Nos
Earlier this year, we wrote a series of eight blogs, each highlighting a mistake that medical practice owners and administrators make, and as we wrap up the second weirdest year in our recent history, we thought we’d revisit them and … Read Full Post
It’s Influenza Vaccination Week
COVID may have usurped the national spotlight for two straight years, but let’s not forget the large number of influenza cases we have every year. Although the CDC recommends flu vaccine administrations in September or October, this week is National … Read Full Post
AMA Released Additional COVID-19 vaccine CPT codes
Vaccine-specific CPT codes have been developed to reflect each COVID vax’s dosing schedule for better tracking, reporting and analysis. The AMA recently added codes for a new vaccine formulation based on a tris-sucrose buffer rather than the phosphate buffer present … Read Full Post
2022 Physician Fee Schedule Final Rule
This week, the Centers for Medicare and Medicaid Services (CMS) published the 2022 Physician Fee Schedule (PFS) final rules that will govern payments starting on January 1st. According to CMS, the final rule will promote greater use of telehealth and … Read Full Post
The Investment in Certified Personnel
Some of our clients are reluctant to employ certified coding and billing professionals, believing that anyone with some training can perform the two most crucial medical practice functions after patient care. They usually live to regret this short-sighted perspective, regardless … Read Full Post