In the 2020 CPT codes set, CMS six released new codes to report online digital evaluation services or e-visits. The codes describe patient-initiated digital communications provided by physicians or other qualified health professionals, codes are 99421, 99422, and 99423. Three others who describe similar interactions when they involve a nonphysician health professional are 98970, 98971, […]
The patient reimbursement model plays a crucial role in patient satisfaction, providers are always trying to improve the patient experience by reducing the cost of service. Most providers use a fee-for-service (FFS) model, which incentivizes physicians based on the number of services provided instead of the quality of care. However value-based care seeks to change […]
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 […]
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 […]
Basics of Medicare Physician Fee Schedule As the name suggests Medicare Physician Fee Schedule (MPFS) is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. This comprehensive listing of fee maximums is used to reimburse a physician and/or other providers on a fee-for-service basis. Medicare Part B pays for physician […]
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 […]
A common misconception is that older adults have either no interest in the use of technology or cannot use technology platforms. But recent survey report says otherwise, 7 in 10 older adults know how to utilize a computer, smartphone, or tablet with internet access at home. Older adults want to adopt new technology but face […]
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 […]
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 […]
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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