Part B News Features
Question: When calculating risk for an E/M visit, is total parenteral nutrition (TPN) moderate risk or high risk? We found some sources that state it should be compared to prescription drug manageme... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
After early years of fast growth followed by a significant slowdown during the COVID years, the rise of advance care planning (ACP) codes 99497 (first 30 mins) and 99498 (each additional 30 mins) has ... More
Question: When calculating risk for an E/M visit, is total parenteral nutrition (TPN) moderate risk or high risk? We found some sources that state it should be compared to prescription drug manageme... More
Recent changes mandated by Congress and CMS that boost the status of physician assistants (PA) — or physician associates, as some groups prefer — is another sign that the providers formerl... More
After early years of fast growth followed by a significant slowdown during the COVID years, the rise of advance care planning (ACP) codes 99497 (first 30 mins) and 99498 (each additional 30 mins) has ... More
Tools
Help your staff prepare for the April 1, 2025, National Correct Coding Initiative update with the new, revised and deleted procedure-to-procedure (PTP) edits with short descriptors. 
Help your staff prepare for the April 1, 2025, National Correct Coding Initiative update with the new, revised and deleted medically unlikely edits (MUE) with short descriptors. 
Benchmark of the Week
After early years of fast growth followed by a significant slowdown during the COVID years, the rise of advance care planning (ACP) codes 99497 (first 30 mins) and 99498 (each additional 30 mins) has settled into a steady but healthy groove.
Look at your claims with patient relationship modifiers X1-X5 and move the modifier to the second position if you’re seeing high denials.
Learning Opportunities

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