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Outpatient remdesivir rolls out, and practices can offer and claim for it

02/21/2022

The monoclonal antibody treatment Veklury (remdesivir) is now available to use beyond the hospital setting. Check your local Medicare administrative contractor (MAC) for coverage rules and be prepared to meet the administration standards if you want to offer it to your patients.

Use a prolonged service decision tree to save time selecting prolonged service codes

02/21/2022

by: Julia Kyles, CPC

Your CPT manual contains four add-on code sets that allow your practice to earn additional revenue when a face-to-face (F2F) E/M visit in the office, outpatient or facility setting requires more time than usual.

Watch enforcement concerns after new challenge to vaccine mandate

02/21/2022

by: Roy Edroso

An amended complaint backed by more than a dozen states is seeking to overturn the Supreme Court’s ruling on the vaccine mandate for health care staffers and, while experts consider it a long shot, it could delay broader enforcement.

Refresh your understanding of CPT coding for radiology services

02/21/2022

by: Sarah Gould, CPC

From diagnostic radiology to bone and joint studies, the expansive field of radiology services — predominantly spanning the 70000 CPT series — contains many commonly used codes. Assess the latest radiology updates, including 2022 changes, to keep your claims reporting up to date.

Make sure your provider is the last one to sign the note

02/21/2022

by: Roy Edroso

Question: At our practice, the billers are often the ones to close the doctor’s note. While we read through the note for coding, we also correct spelling and make other staff aware of missing documentation or orders. We sign and date along with the doctor’s signature and date. Is this OK? Also, if our physician assistants are rendering providers and we bill under our surgeon’s national provider identifier (NPI), do both the physician assistant (PA) and the surgeon need to sign the note?

Prolonged service utilization showed major ups, downs over 3-year period

02/21/2022

by: Julia Kyles, CPC

The use of prolonged services had their ups and downs in recent years, showing sharp swings between 2018 and 2020, and the COVID-19 crisis did not appear to have a negative impact on all codes.

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