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01/24/2022
Get ready for a new wrinkle in telehealth billing: CMS’ place of service (POS) workgroup created a new code for telehealth encounters. But make sure your Medicare administrative contractor (MAC) and private payers are ready to process it before you append it to your claims.
01/24/2022
The Supreme Court has cleared the CMS mandate that had been suspended in 25 states, but experts predict continuing trouble getting covered health care workers, as well as some state governments, fully on board, which could lead to compliance challenges.
01/24/2022
Keep an eye on five new CPT codes 98975-98981 for remote therapeutic monitoring (RTM) that came online Jan. 1, 2022. To start reporting them correctly, study the guidelines for the codes in the 2022 CPT manual, as well as Medicare’s discussion of them in the final Medicare physician fee schedule. 
01/24/2022
The Biden administration’s plan to send 1 billion COVID-19 tests to Americans may not lead to significant downstream effects on medical groups, such as an increase in patients seeking treatment for the disease, but practices should be ready to answer related questions from patients.
01/24/2022
Question: Do the new rules for coding office visits also apply to telehealth hospital inpatient or observation visits during the public health emergency (PHE)? I thought I read that CMS created a waiver for E/M visits in 2020.
01/24/2022
Question: Will 2022 CPT codes 94625 (Professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring [per session]) and 94626 ( É ; with continuous oximetry monitoring [per session]) have the same reporting requirements as HCPCS code G0424 (Pulmonary rehabilitation, including exercise [includes monitoring], one hour, per session, up to two sessions per day)?
01/24/2022
Medicare Part B claims for most E/M office visits (99201-99215) reported with place of service (POS) 11 (Office) dipped in 2020 compared to claims submitted in 2019. Claims for these services fell by a total of 42.5 million visits year to year, with 99211 being the only code that experienced an increase — of 243,990 claims — during the first year of the COVID-19 public health emergency (PHE).
01/17/2022
If a patient declines part of their examination a weigh-in or disrobing, for example you may be able to work around it, or take the opportunity to educate the patient on the necessity of the declined element. If you can’t get past it, however, make sure to proceed carefully to avoid charges of discrimination or abandonment.
01/17/2022
Take steps to ease the transition to new billing rules in 2022 when physicians and non-physician practitioners (NPP) are involved in a single patient encounter. Experts predicted that Medicare’s new rule for split or shared services in facilities and for critical care services will create coding challenges for practices.
01/17/2022
Tread carefully when accepting payment from patients via payment apps such as Venmo, PayPal and Zelle. It’s personal health information, and there’s a risk that it can be accessed by third parties.

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