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Improving Patients Telehealth Experience

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 […]

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Chemotherapy Administration Coding Guidelines 2022

Chemotherapy Administration Coding Guidelines 2022

Key Takeaways Chemotherapy administration coding guidelines allow only one initial service code (96360, 96365, 96374, 96409, 96413) per encounter unless separate IV sites are used. Reporting two initial service codes for separate IV access sites requires the appropriate modifier. Drug administration codes 96360–96379, 96401–96425, and 96521–96523 are billable by physicians only in office settings, not […]

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Billing Telehealth Visits Post Pandemic

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 […]

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Exclusion of Ground Ambulances from No Surprises Act

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 […]

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

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 […]

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2022 Coding Update for CPT 99211

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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Managing Patient Billing Challenges

Managing Patient Billing Challenges

Healthcare providers focus on providing high-quality, equitable, and safe care as patient care and patient satisfaction are the ultimate motives for running practice. Patient billing is an important part of the care experience, where most practices face challenges day-to-day basis. Most of the surveys focusing on patient satisfaction report that patient bills can be difficult […]

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