How to Manage Common Denials for RPM?

Remote Patient Monitoring (RPM) is a health care delivery method that benefits patients, providers, caregivers, and the healthcare system as a whole, by leveraging technology advances to gather patient data, outside of traditional health care delivery settings. From increasing access to virtual care, increased patient-provider communication opportunities, and improved patient involvement in self-management to reducing […]

Preparing Yourself for Malpractice Suit

Increasing Number of Malpractice Suits For many providers, it’s not a matter of if they will be sued at some point in their career, but when it will happen. It’s quite a common occurrence in today’s society, to a doctor for a poor health outcome, even when the provider has done nothing wrong. You will […]

Improving Patients Telehealth Experience

Rapid Adoption of Telehealth Services Due to the COVID-19 pandemic, we have seen a drastic change in the way that physicians treat their patients. During the pandemic, many healthcare entities were forced to step into the telehealth space with little experience and even less training. The use of telehealth was barely a factor among physicians […]

Keeping Track of Financial Health of Your Practice

Keeping track of the financial health of your practice is important for many reasons. On the most basic of levels, it allows you to keep the doors open. You can retain your staff, keep their morale high and remove the headaches associated with worrying about money month to month. Most importantly, though, it allows you […]

Chemotherapy Administration Coding Guidelines 2022

The Centers for Medicare & Medicaid Services (CMS) recently published revised coding guidelines for CPT codes 90000 – 99999. In this Blog, we shared CPT codes applicable for Chemotherapy Administration Coding and minor updates in guidelines. Chemotherapy Administration Coding Guidelines 2022 Reporting Initial Service Code The CPT codes 96360, 96365, 96374, 96409, and 96413 describe […]

Billing Telehealth Visits Post Pandemic

The COVID-19 pandemic and the accompanying social distancing protocols catalyzed a shift toward remote care hence resulting in the exponential growth of Telehealth services. Governments and private payers sought to maintain access to care during this period by removing regulatory barriers and reforming payment policies. But after the pandemic, in recent months, outpatient visits by […]

Exclusion of Ground Ambulances from No Surprises Act

Congress passed the ‘No Surprises Act,’ which prohibits most surprise out-of-network billing for plan years beginning in 2022. Surprise bills occur when a patient receives care from an out-of-network provider or facility during an emergency visit or while receiving non-emergency care at an in-network hospital or facility. In these cases, patients may face balance billing […]

Medicare Coverage for Over-the-Counter COVID-19 Tests

Over-the-Counter COVID-19 Tests and Medicare As per the government’s ongoing efforts to expand Americans’ access to free testing, people in either Original Medicare or Medicare Advantage will be able to get over-the-counter COVID-19 tests at no cost starting in early spring. Under the new initiative, Medicare beneficiaries will be able to access up to eight […]

Expanded Coverage of Lung Cancer Screening with LDCT

Lung cancer is one of the most common cancers and the leading cause of cancer-related death in both men and women in the United States. This screening is aimed at the early detection of non-small cell lung cancer. On 10th Feb 2022, the Centers for Medicare & Medicaid Services (CMS) announced a national coverage determination […]

2022 Coding Update for CPT 99211

While code descriptors are never big news, one key change to a low-level office/outpatient (E/M) service code descriptor that came into effect on January 1, 2022, could be a welcome change for your practice. The revision is the level one office/outpatient E/M code for established patients. In 2022, the CPT 99211 descriptor reads as, office or […]

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