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01/20/2025
A proposed rule from HHS would confirm that cybersecurity measures such as multi-factor authentication (MFA) and encryption of electronic protected health information (ePHI) are not optional safeguards, but something covered entities such as physician practices are required to implement to stay compliant with HIPAA. Because of the way the policies are directed, experts say you should work to meet the proposed rule’s requirements whether or not the rule is finalized.
01/20/2025
Teach the tighter modifier 25 guidelines in the 2025 National Correct Coding Initiative (NCCI) Manual and pass along the latest updates on mutually exclusive edits.
01/20/2025
As of Jan. 1, practices are eligible to report visit complexity add-on code G2211 with office visit codes 99202-99215 when appending modifier 25 to the primary E/M code. However, take note of the billing restrictions that CMS placed on the same-day services eligible for the billing opportunity.
01/20/2025
A review of the top three specialties that reported high-level E/M codes in 2023 reveals a variety of primary care providers and other specialists at the top of the list. When it comes to the highest-level office visit code for new patients, three specialties dominated claims for 99205, the E/M visit with the highest payout.
01/20/2025
by: Julia Kyles, CPC
CMS updated the guidelines for reporting an E/M service on the same day as a procedure with an XXX global surgery indicator – global surgery concept does not apply – in the latest National Correct Coding Initiative (NCCI) Manual.

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