Your 90-Day AR Analysis is complimentary - See your true collection gap.

Medical Billing Services

CPT Codes for Digital E/M Service

CPT Codes for Digital E_M Service

In the 2020 CPT codes set, CMS six released new codes to report online digital evaluation services or e-visits. The codes describe patient-initiated digital communications provided by physicians or other qualified health professionals, codes are 99421, 99422, and 99423. Three others who describe similar interactions when they involve a nonphysician health professional are 98970, 98971, […]

Read More.. CPT Codes for Digital E/M Service

Basics of Value-Based Care

Basics of Value-Based Care

The patient reimbursement model plays a crucial role in patient satisfaction, providers are always trying to improve the patient experience by reducing the cost of service. Most providers use a fee-for-service (FFS) model, which incentivizes physicians based on the number of services provided instead of the quality of care. However value-based care seeks to change […]

Read More.. Basics of Value-Based Care

CMS Telehealth Services After PHE

CMS Telehealth Services after PHE

The 2022 Medicare Physician Fee Schedule Final Rule released on November 2, 2021, by the Centers for Medicare & Medicaid Services (CMS) added certain services to the Medicare telehealth services list through December 31, 2023. Last year, CMS included temporary ‘Category 3’ services to the Medicare services list for the duration of the COVID-19 public […]

Read More.. CMS Telehealth Services After PHE

Revised Guidelines for Split (or Shared) E/M Visits and Critical Care Services

Revised Guidelines for Split E/M Visits and Critical Care Services

On November 2, 2021, the Centers for Medicare & Medicaid Services (CMS) issued a final rule that includes updates on policy changes for Medicare payments under the Physician Fee Schedule (PFS), and other Medicare Part B issues, on or after January 1, 2022. In the final rule of the 2022 Medicare Physician Fee Schedule, the […]

Read More.. Revised Guidelines for Split (or Shared) E/M Visits and Critical Care Services

Facing Insurance Audits as Out of Network Provider

Facing Insurance Audits as Out of Network Provider

According to the 2021 Milliman Report, more and more providers has preferred to provide healthcare services as Out of Network Provider provider. This Out of Network Provider utilization is much higher for mental health services than for medical or surgical services. Relaxed telehealth policies during the COVID-19 pandemic have offered more access to Out of […]

Read More.. Facing Insurance Audits as Out of Network Provider

Medical Billing for Obesity Screening and Counseling

Medical Billing for Obesity Screening and Counseling

Basics of Obesity Screening and Counseling Obesity screening and counseling are one of many distinct preventive services mandated by national and state regulations (US Dept. of Labor). The U.S. Preventive Services Task Force (USPSTF) recommends screening all adults for obesity. This screening also includes children of >6 years old. CMS began reimbursing physicians for obesity […]

Read More.. Medical Billing for Obesity Screening and Counseling

Billing Guidelines for Cognitive Assessment

Billing Guidelines for Cognitive Assessment

There are substantial barriers when it comes to timely detection of cognitive impairment, especially Alzheimer disease and related dementias (ADRD), impeding effective care planning and coordination among providers, patients, and caregivers. As per a recent estimate, 12.7 million people over 65 years of age are projected to have Alzheimer’s by 2050. So, it’s not surprising […]

Read More.. Billing Guidelines for Cognitive Assessment
888-357-3226