In response to the COVID-19 pandemic, CMS made several policy changes that allowed Medicare beneficiaries to access a wider range of telehealth services, alleviating some of the burden and risk of an in-person encounter at a healthcare facility. This coverage was established due to the public health emergency (PHE) for COVID-19. The coverage began on…
The report below describes a patient undergoing surgery for excision of left olecranon bursa and left medial epicondylar release. The entire procedure has been documented in detail, describing the step-by-step process used by doctors to carry out the surgery. Keep reading for more on how this procedure was performed. Do you have a complicated surgery…
Dozens of ICD-10-CM guidelines updates will go into effect on October 1st. Throughout the guidelines, there are many changes that will impact coding from a new call for specificity to revised instructions for coding social determinants of health. Pulled from Part B News by Decision Health here are the highlights from the new guidelines. Decision…
Per the most current Federal Register CMS has proposed significant RVU/Fee increases for Chronic Care Management service (CCM) in CY 2022. The following table shows the 5 CCM CPT codes with the proposed increase in RVU/Fees for CY 2022, followed by the current Care Management Service and Coding guidelines. Many practices undervalue Care Management services…
Setting goals for professional development is an important part of advancing your career. Whether your goals are to be more productive at work or become the CEO of a corporation, the only way to get there is by setting actionable goals you can work on every day. Professional goals are goals you set that are…
When a consulting doctor skips the interprofessional consult verbal report, it may cause some confusion when trying to submit an accurate code. There is only one code available for an interprofessional consult done without the verbal report. Continue reading below to learn what code should be used in this scenario! Question: Our doctor frequently forgets…
The report below describes a patient undergoing surgery for a pathological fracture of the right forearm/wrist. The entire procedure has been documented in detail, describing the step-by-step process used by doctors to carry out the surgery. Keep reading for more on how this procedure was performed. Do you have a complicated surgery case that needs…
Public concern over surprise billing practices has made new regulations inevitable. The Kaiser Foundation published a study on February 11, 2020 that showed 1 out of 5 adults received a Surprise Medical Bill in the past 2 years. The National Association of Insurance Commissioners did a poll in July of 2020, and they found that…
HHS has extended the PHE throughout the rest of 2021. Just when we thought things might be getting back to the new normal, HHS says we are not quite ready to lift the PHE. Some states such as Florida continue to rise in COVID-19 related cases. Be prepared for another year of social distancing and…
Modifier 22 is used when the factors influencing how complicated a procedure was, are documented in detail. It is important to make sure this modifier is appropriately reported and that you have a thorough understanding of modifier 22 to ensure you’re getting the additional revenues you qualify for. Continue reading below for more information about…