Part B News | Tool of the Month

Give providers an illustrated guide to the new SDOH risk assessment code

01/15/2024

Make sure your physicians and qualified health care professionals (QHP) are ready for their crucial role in reporting G0136 (Administration of a standardized, evidence-based Social Determinants of Health [SDOH] Risk Assessment tool, 5-15 minutes, not more often than every 6 months).

Cultivate Medicare prolonged service rule compliance with a decision tree

08/07/2023

by: Julia Kyles, CPC

Use this decision tree to illustrate Medicare’s rules for coding prolonged E/M services. Medicare created codes and rules for prolonged services performed by a physician or qualified health care professional (QHP) because it disagrees with portions of the CPT guidelines.

The Medical Practice Guide to Telehealth and Remote Patient Monitoring

06/26/2023

by: DecisionHealth Staff

CMS and other federal agencies have opened up telehealth coverage policies during the COVID-19 public health emergency (PHE), while a series of virtual care options have come online in recent months.

April 1, 2023 ICD-10-CM code file

04/04/2023

by: Julia Kyles, CPC

Bring your staff up to date on the ICD-10-CM code changes that went into effect April 1.

Use new E/M coding worksheet for level-based E/M encounters

03/06/2023

by: Julia Kyles, CPC

DecisionHealth has revised its tool for office/other outpatient E/M visits (99202-99215) to include encounters performed in the inpatient or observation (99221-99223 and 99231-99236), emergency department (99281-99285), nursing facility (99304-99310) and home or residence (99341-99350) settings and consults (99242-99245 and 99252-99255).

New and revised codes for '23: Relative value unit rundown

07/28/2022

by: Julia Kyles, CPC

Take a look at the new, revised and potentially misvalued services that CMS identified in the proposed 2023 Medicare physician fee schedule. The downloadable document (xls) provides current and projected work relative value units (RVU) for each service, allowing you to compare RVU changes between 2022 and 2023.

Observation code crosswalk 2022 to 2023

07/18/2022

by: Julia Kyles, CPC

Observation-only E/M codes are slated for deletion as of Jan. 1, 2023. Part of the second phase of the E/M coding update folds observation codes into existing inpatient E/M codes and revises the inpatient codes’ descriptors. Use this crosswalk to train staff on the pending changes.

2021 Physician Fee Schedule Rates: Updated 1/4/21

01/13/2021

by: Richard Scott

On Jan. 4, 2021, CMS updated the Part B conversion factor to $34.89, an increase of 8% over the previously finalized rate. The agency also revised total relative value units (RVU) for hundreds of services. Find the latest fees here.

2020 Medical Practice Staff Salary and Trends Report

11/12/2020

by: Richard Scott

Through the array of charts and data contained in this special report, you’ll find key characteristics of the medical practice professional working in ambulatory care settings today. From education and credentialing to emerging responsibilities and shifting practice trends, discover an illustrative look at the key personnel keeping medical practices going strong.

2020 Medicare-covered telehealth services

03/19/2020

by: Richard Scott

About 100 codes, including E/M office visits (99201-99215), are eligible for telehealth reporting under Medicare in 2020. In response to the COVID-19 pandemic, CMS will allow Medicare providers to deliver telehealth services without site-of-service restrictions.

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