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Marriage and family therapists (MFT) and mental health counselors (MHC), the newest providers empowered to enroll in and be reimbursed by Medicare, have an opportunity to participate in a new CMS program. This could lure more of these providers into Medicare, making them available for partnership in Part B behavioral health. 
Interest in the visit complexity code (G2211) is high, according to questions that CMS officials received during a recent open door forum (PBN 2/5/24). But so is confusion about the service. Your practice could miss revenue opportunities and trigger denials if your staff can’t tell coding fact from coding fiction.
HHS released two reports recently that provide in-depth insights and compliance tips to help health care covered entities contend with cybersecurity threats.
Question: According to one of our private carriers there are two possible ways we should report bilateral services with modifier 50 (Bilateral procedure):
  1. Report modifier 50 on two service lines with one unit each.
  2. Report modifier 50 on one service line with 2 units of service.
However, the carrier does not have this in their payment policies. In addition, this private payer’s instruction contradicts other private carriers and our Medicare administrative contractor (MAC). What should we do?
The 2024 ICD-10-CM update added 36 codes to the now nearly 400 codes in category M80.- (Osteoporosis with current pathological fracture). Incorporate the additional codes into your routine, as they add further specificity for pelvis fractures due to age-related osteoporosis.
The most-used Medicare screening services took a tumble in 2020, the first year of the COVID-19 public health emergency, and seemed to be staging a comeback in 2021. The most recent available figures, however, suggest any comeback is leveling off.


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