Medicare Diabetes Screening Billing Guidelines

Medicare Diabetes Screening Billing Medicare Part B covers patients with certain diabetes risk factors or diagnosed with pre-diabetes. But note that patients previously diagnosed with diabetes aren’t eligible for diabetes screening benefits. Medicare covers 1 screening every 6 months for patients diagnosed with pre-diabetes and 1 screening every 12 months if previously tested but not […]

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Selecting E&M Based on Time

Prior to 2021, the time associated with CPT codes 99202-99215 was based specifically on the typical face-to-face time the physician/qualified health care professional (QHP) spent on the day of the encounter. After 2021, providers may select the level of office and outpatient evaluation and management (E&M) services based on either time or medical decision-making. In […]

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Primary Care Physicians Can Earn More with Outsourcing

PCPs are Leaving Money on Table According to a recent study published in the Annals of Internal Medicine, primary care physicians left a large amount of money on the table for services that were provided but not coded and billed. This research estimates that a single primary care physician could add $124,435 in preventative services […]

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The Struggle of Primary Care Physicians with Dynamic Medical Billing Rules

Medical billing is a complex process and it’s always been a reason for the struggle of primary care physicians. In addition, their practice is often overwhelmed with constantly changing information, including protocols and billing codes which makes the situation more challenging. When the covid-19 pandemic strains the U.S. healthcare system, primary care physicians were working […]

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Primary Care Codes for Payment

The technique by which Current Procedural Terminology (CPT) codes are developed with the goal that physicians can get paid for the services and procedures they give is an extremely entangled procedure, one that deserves some explaining. Furthermore, Medical Billers and Coders (MBC) is effectively occupied with this procedure and advocates for the eventual benefits of its clients, […]

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Role of Primary Care Practitioner in DSMT

Diabetes self-management education/training (DSMET) is cost-effective and improves health outcomes as patients maintain better control of their A1C. Diabetes educators provide education/training services and enable physicians to provide comprehensive high-quality care for their patients with diabetes and those at high risk of developing diabetes. Diabetes educators bring a unique skill set to the physician‘s practice […]

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Primary Care First (PCF) and Alternative Payment Models

Primary Care First Model Options is a set of voluntary five-year payment options that reward value and quality by offering an innovative payment structure to support the delivery of advanced primary care. It will help in prioritizing the doctor-patient relationship; enhancing care for patients with complex chronic needs and high need, seriously ill patients, reducing […]

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Revenue Cycle Management (RCM) Tips To Shorten The Claim Length

Revenue cycle management (RCM) is the commercial process that uses medical billing software, which healthcare facilities use to track patient care episodes from registration and appointment scheduling to the final payment of a balance. In simple terms, it refers to the process of tracking the payments for the services rendered at a provider’s office, from […]

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How To Explore Untapped Potential Of Your Practice?

Today, the majority of deaths worldwide are due to four noncommunicable diseases such as cancer, cardiovascular disease, type 2 diabetes, and respiratory diseases; most of these deaths are potentially preventable. Four sets of behaviors contribute to the high and growing burden of noncommunicable disease: consumption of tobacco, alcohol, and highly processed foods, as well as […]

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Collaboration between Primary Care and Chiropractic Care

Doctors of chiropractic practice work in a diverse environment which leads them toward diverse medical settings. The medical settings of chiropractic work with the close proximity of the medical billing service providers this has led to a diverse role for chiropractic specialty physicians looking towards the conventional healthcare facilities. Here are some of the cases […]

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