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03/11/2024
Check your providers’ documentation to make sure they and coders understand the context for visit complexity code G2211 (PBN 2/5/24). While the add-on code can be appended to office/other outpatient encounters (99202-99215), note that there are strict limits.
03/11/2024
Hacking events are an ever-present threat, as the sprawling Blackcat ransomware event underscores. Last October, the Cybersecurity and Infrastructure Security Agency (CISA) and the Department of Health and Human Services (HHS) released a cybersecurity toolkit that includes resources tailored for the health care and public health sector.
03/11/2024
While practices continue to ramp up the number of annual wellness visits (AWV) they provide to patients, they witnessed a payment hole in 2022, in what appears to be a demographically driven discrepancy.
03/04/2024
When a criminal or civil case embroils a practice, subpoenas or court orders requesting or demanding records may come to the front desk. You may face different types of requests that can be made in connection with the case in question, and it’s vital that your staff understand the difference.
03/04/2024
Reagan E. Boyce, partner with the Chamblee Ryan firm in Dallas, offers five handy suggestions for situations that may arise when you practice is served papers.
03/04/2024
Take time to assess key details the HHS Office of Inspector General (OIG) found in its review of telehealth services during the first nine months of the COVID-19 public health emergency (PHE). The agency identified documentation errors that might lurk in your face-to-face (FTF) E/M services, as well as your telehealth claims.
03/04/2024
Question: At our orthopedic practice we sometimes must postpone a patient’s total joint replacement because their BMI is too high. We either refer them back to their PCP for weight loss management or to a weight loss program at another facility. One of our providers is working to become certified in weight loss counseling, which would allow her to provide this service at our practice rather than referring the patients elsewhere. How would this service be billed?
03/04/2024
Question: One of the coders I work with consistently uses the subsequent inpatient or observation codes (99231-99233) to bill for hospital H&Ps by their orthopedic surgeons. A typical scenario would be when the orthopedist is called to evaluate a hospitalized patient with a known orthopedic injury who was admitted by another physician. The orthopedist has not previously seen the patient. I am seeing conflicting guidance on this from different sources. Can you please clarify?
03/04/2024
On February 8, CMS published MLN Matters 13513 to ensure medical group billing staff is aware of an expansion of supervising practitioners who can oversee, and bill for, pulmonary, cardiac and intensive cardiac rehabilitation services.
03/04/2024
After a major coding changeover, psychological and neuropsychological testing claims have continued to rise in overall utilization. But watch a few related codes that have had a harder time of it.

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