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07/29/2024
A CMS proposal to expand the use of transfer of care modifiers during the global surgical period has coders scratching their heads and physicians warning that it will lead to “significant problems.”
07/29/2024
Therapy assistants win more rights to practice under general rather than direct supervision in certain circumstances, and therapists gain a dose of bureaucratic and cost-of-care relief, according to the proposed 2025 Medicare physician fee schedule.
07/29/2024
Infectious disease specialists could receive additional reimbursement for consults associated with known or suspected infectious disease, according to the proposed 2025 Medicare physician fee schedule.
07/29/2024
CMS has proposed a new code that would allow infectious disease specialists to earn approximately $43.00 for consult services that they perform in conjunction with hospital inpatient and observation E/M codes.
07/29/2024
Stakeholders asked CMS to change the status of 68 provisional telehealth codes to permanent in the coming year. The requests were for codes that CMS added to the list during the COVID-19 public health emergency (PHE) on a provisional basis. CMS declined to grant permanent status but intends to leave them on the list on a provisional basis.
07/29/2024
In addition to the big changes covered in the previous issue of Part B News, take a look at these other billing and coding updates contained in the proposed 2025 Medicare physician fee schedule, which CMS released July 10.
07/29/2024
Office or other outpatient E/M visits will be among the codes that fare the best under the projected conversion factor cut that CMS released with the proposed 2025 Medicare physician fee schedule. High-volume eye care codes will see the biggest drops next year.
07/22/2024
You can say goodbye to the elevated payment rates that have buoyed Part B professional fees for most of 2024. Should CMS’ proposals in the latest physician fee schedule hold, providers and medical groups will see a nearly 3% reduction to the Medicare Part B conversion factor in 2025.
07/22/2024
Practices can get a first glimpse of new codes they can expect to see in the 2025 CPT manual in the proposed fee schedule, as CMS proposes work valuations for them. The agency also floated new HCPCS services.
07/22/2024
COVID-19 public health emergency (PHE) policies will be a factor in CMS telehealth policy even after the existing telehealth waivers expire on Dec. 31, 2024.

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