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12/15/2025
Despite technological advances in tracking, medical organizations continue to hire unlicensed and improperly credentialed non-physician practitioners and even physicians. Make extra certain your checklist for new hires — and in some cases existing staff — is thorough and complete.
12/15/2025
Questions about add-on code G2211, known as the visit complexity or longitudinal care code, cropped up throughout the CPT & RBRVS 2026 Annual Symposium. The answers to questions about documentation, timing and specific scenarios that support the add-on code can be summarized in one sentiment: Focus on “longitudinal relationships.”
12/15/2025
You’ll have to wait a while longer for National Correct Coding Initiative (NCCI) edits for 2026-effective codes. However, the latest quarterly NCCI update will include new medically unlikely edits (MUE) for a variety of HCPCS codes that went into effect in July and October 2025.
 
12/15/2025
As Medicare payment ramps back up after the recent government shutdown, Ahzam Afzal, CEO and co-founder of Puzzle Healthcare in Detroit, points out some things to watch for as the claims and payments come through.
12/15/2025
A developing multistate compact is on track to increase physician associates’ ability to perform telehealth encounters — and further the rise of the practitioners formerly known as “mid-levels.”
12/15/2025
Utilization of the operation-related modifiers 24 (Unrelated evaluation and management service by the same physician during a postoperative period) and 57 (Decision for surgery) has held relatively stable in recent years, and 2024 was no exception.

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