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02/17/2025
Though recent statistics show very few physicians opting out of Medicare, boosters of self-pay medical practice models — concierge, direct primary care and hybrid — still believe those models will advance in years to come, partly due to the interest of physicians, and partly due to the interest of investors.
02/17/2025
Radiologists and providers who implant or program implantable medical devices should review the six new magnetic resonance (MR) safety codes (76014-76019) that went into effect Jan. 1. The codes describe the work involved when a medical implant or metallic foreign bodies create additional risks for an MR exam.
02/17/2025
The 2025 CPT Manual includes six new, detail-laden magnetic resonance (MR) safety codes. Familiarity with the full descriptor for each code is an essential starting point for reporting these services.
02/17/2025
The CDC did not release any new codes to take effect April 1 this year, however there are some noteworthy changes coming to the guidelines, including the addition of two new guidelines for obesity codes found under category E66 (Overweight and Obesity).
02/17/2025
Question: Did chronic pain care management codes G3002 and G3003 replace chronic care management codes 99490 and 99439?
02/17/2025
Question: A nurse practitioner (NP) spends five minutes on an established patient’s care and a physician spends a separate five minutes on the patient’s care. They spend five minutes together. Did they provide 15 or 20 minutes?
02/17/2025
On January 13, CMS published a Final Decision Memo regarding a national coverage analysis for implantable pulmonary artery pressure sensors (IPAPS) for heart failure management under coverage with evidence development (CED). CMS will cover the implantation of IPAPS for heart failure management when furnished according to an FDA market-authorized indication and specific patient, physician and CED study criteria are met. CMS believes CED is the most appropriate national coverage determination (NCD) policy for these devices, as it simultaneously covers the technology while collecting and analyzing more data to fill evidence gaps.
02/17/2025
Medical groups reported a series of primary psychological, neuropsychological and neurobehavioral testing codes more often than in previous years, and had a more favorable return on denials. But one of the codes remained a denial trap, and it looks as if a simple misunderstanding of the billing rules may be to blame.

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