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02/12/2024
Interest in the visit complexity code (G2211) is high, according to questions that CMS officials received during a recent open door forum (PBN 2/5/24). But so is confusion about the service. Your practice could miss revenue opportunities and trigger denials if your staff can’t tell coding fact from coding fiction.
02/12/2024
HHS released two reports recently that provide in-depth insights and compliance tips to help health care covered entities contend with cybersecurity threats.
02/12/2024
Question: According to one of our private carriers there are two possible ways we should report bilateral services with modifier 50 (Bilateral procedure):
  1. Report modifier 50 on two service lines with one unit each.
  2. Report modifier 50 on one service line with 2 units of service.
However, the carrier does not have this in their payment policies. In addition, this private payer’s instruction contradicts other private carriers and our Medicare administrative contractor (MAC). What should we do?
02/12/2024
The 2024 ICD-10-CM update added 36 codes to the now nearly 400 codes in category M80.- (Osteoporosis with current pathological fracture). Incorporate the additional codes into your routine, as they add further specificity for pelvis fractures due to age-related osteoporosis.
02/12/2024
The most-used Medicare screening services took a tumble in 2020, the first year of the COVID-19 public health emergency, and seemed to be staging a comeback in 2021. The most recent available figures, however, suggest any comeback is leveling off.
02/05/2024
Make sure documentation supports encounters reported with visit complexity add-on code G2211, remember that you can only report it in conjunction with office/other outpatient E/M visits (99202-99215) and watch for more education materials soon.
02/05/2024
Your practice may call it the visit complexity code, but make sure your coders refer to the full descriptor for G2211 when they perform or report the service. The details will help them understand when and how to report it. For example, it can only be performed in conjunction with office/other outpatient visits (99202-99215).
02/05/2024
If you’ve looked around lately, you were sure to notice a predominant story: The boom in artificial intelligence (AI), which has become big news and has penetrated the health care industry via coding, patient communications, information indexing and even patient care. However, the “intelligence” part of the technology seems not to have developed sufficiently to supplant human decision-making in clinical matters.
02/05/2024
In a sign of the expanding role of unlisted CPT codes, practices will be able to append certain modifiers to the codes and even report unlisted codes more than once on a claim in certain circumstances, according to new coding guidelines added to the introduction of the 2024 CPT manual.
02/05/2024
Providers were less likely to report an E/M modifier with an office/other outpatient visit one year after the new rules for reporting the visits went into effect.

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