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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 […]

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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 […]

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Billing Telepsychiatry for Interstate

Billing Telepsychiatry for Interstate

In the year 2021, we observed increased use of telehealth services as patients look for ways to continue their treatment while following physical distancing guidelines. This also created unique scenarios including patients and providers in different states during telepsychiatry sessions. When engaging in interstate practice, psychologists should comply with all relevant laws and regulations, both […]

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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 […]

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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 […]

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Effective RCM Strategies to Collect Maximum Patient Responsibility

Effective RCM Strategies to Collect Maximum Patient Responsibility

Patients’ financial responsibility is on the rise as more patients are choosing high-deductible health plans (HDHP). Increasing patient responsibility is an ongoing trend that does not seem to be slowing down in the near future. Providers report many challenges with responding to growing patient financial responsibility. Given the increased payment responsibility, being able to determine […]

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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 […]

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