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08/19/2024
Include training on the new ICD-10-CM excludes notes before the next update goes into effect on Oct. 1. The new tabular addenda for the FY2025 code set contains 18 new and eight deleted Excludes1 notes.
08/19/2024
Experts say the latest Medicare innovations in behavioral health, including one that would pay for patients to use “digital therapies” such as apps, are sensible and welcome. But it remains to be seen how quickly these services would reach the beneficiaries who need it.
08/19/2024
Take note of pending billing changes for Medicare’s depression screening service G0444 (Annual depression screening, 5 to 15 minutes).
08/19/2024
Question: CMS’ prolonged service code G2212 was originally based on the maximum times in the descriptors for codes 99205 and 99215. But the 2024 CPT manual replaced the minimum and maximum time ranges for the office/other outpatient codes with minimum times that the provider must meet or exceed.
 
Should our practitioners continue to use Medicare’s prolonged service times for office/other outpatient E/M visits, or should they switch to the shorter times for prolonged service code 99417 in the 2024 CPT manual?
08/19/2024
Question: We are hiring a chief information security officer (CISO). What are the top traits and skills they should have?
08/19/2024
The Center for Medicare and Medicaid Innovation (CMMI) announced on July 24 that the deadline for submitting an application for the Primary
Care Flex Model accountable care organization model (ACO) would be moved from Aug. 1, 2024, to Aug. 23, 2024.
08/19/2024
The outlook is bleak for most of the 101 E/M codes (99202-99498) available for billing under Medicare Part B in 2025. Just two codes in the E/M series are on track to see a positive shift in reimbursement, and one of those gainers is up a scant $0.03 year-to-year, according to an analysis of the proposed 2025 Medicare physician fee schedule.

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