How New Primary Care Codes Benefit Patients and Providers?

A compassionate approach to the primary care code is key to ensuring patients’ well-being. The recent introduction of new primary care codes in the United States highlights hope for humanity in the complex medical billing and coding world. They are designed to simplify processes for primary care physicians and foster a more comprehensive healthcare environment […]

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 […]

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 […]

Primary Care Physicians Can Earn More with Outsourcing

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

The Struggle of Primary Care Physicians with Dynamic Medical Billing Rules

Medical Billing a Challenge for Struggling Primary Care Practices Medical billing is a complex process, and it’s always been a reason for primary care physicians’ struggles. 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. […]

Primary Care Codes for Payment

The technique by which Current Procedural Terminology (CPT) codes are developed so that physicians can get paid for their services and procedures is highly entangled and deserves some explanation. Furthermore, Medical Billers and Coders (MBC) is effectively occupied with this procedure and advocates for the eventual benefits of its clients, which incorporates improved payment for primary […]

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. The primary care practitioner in DSMT provides general medical care and […]

Primary Care First (PCF) and Alternative Payment Models

Primary Care First (PCF) 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, […]

How Medical Billing Codes will Address Primary Care in 2018

Primary care practitioners are probably the first contact for many patients for medical requirements, health maintenance, and counseling. Other medical services provided by primary care practitioner includes disease prevention, treatment for chronic illnesses, scans and tests, routine examinations, obstetrics and prenatal care, basic medical aid for injuries, and providing referrals to specialists such as neurologists, […]

4 Reasons Why New York is Short of Primary Care Providers

The crisis is indeed real. New York is facing a statewide shortage of primary care physicians, and it is nowhere near getting resolved. The Healthcare Association of New York State reports over a thousand unfilled physician positions across New York, of which nearly one-third of the shortage pertains to primary care. A primary care provider […]

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