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Tool of the Month
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.
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.
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.
Modifier 25 indicates a "significant, separately identifiable E/M service." Incorporate the tips below and click the "Download file" link above to access a modifier 25 decision tree.
This major final rule aligns the E/M coding and payment with changes recommended by the CPT Editorial Panel and AMA RUC for office/outpatient E/M visits. The final rule also adds services to the telehealth list and updates payment policies, payment rates and other provisions for services furnished under the Medicare physician fee schedule on or after Jan. 1, 2020.
Modifier 22 indicates "increased procedural services." Incorporate the tips below and click the "Download file" link above to access a modifier 22 decision tree.
The Correct Coding Initiative (CCI) version 25.3 edits, effective Oct. 1, 2019, bundle dozens of codes that will restrict a range of same-day services, including some allograft procedures.
This major proposed rule addresses changes to the physician fee schedule (PFS); other changes to Medicare Part B payment policies to ensure that payment systems are updated to reflect changes in medical practice, relative value of services, and changes in the statute.
This sample template for immediate post-op notes is courtesy of Pikeville (Ky.) Medical Center. Pikeville leadership requires physicians to complete this form before the patient goes to the next level of care unless accompanied by the practitioner who did the procedure. Full post-operative reports should be completed according to hospital policy.
Click the "Download file" link to access an annual wellness visit (AWV) form updated for 2016 with new screenings.


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