Category: Blog

Proposed Rule Introduces New CPT Codes For Cardiac Shunting, EKGS, And Lung Biopsies

Proposed Rule Introduces New CPT Codes For Cardiac Shunting, EKGS, And Lung Biopsies

Coders should also take note of the new HCPCS Level II codes CMS is considering. CMS released the calendar year (CY) 2021 Medicare Physician Fee Schedule (MPFS) on August 3, introducing 39 new CPT codes, mainly for cardiovascular services. If finalized, the new codes will go into effect January 1, 2021. The proposed update includes five new codes for […]
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AMA Announces New CPT Codes for Coronavirus Testing

AMA Announces New CPT Codes for Coronavirus Testing

The American Medical Association (AMA) has recently expanded its Current Procedural Terminology (CPT) code set to include four additional codes for coronavirus testing. These new codes facilitate providers in reporting a wider range of laboratory tests for the novel coronavirus on medical claims. The newly introduced CPT codes are as follows: •86408: SARS-CoV-2 neutralizing antibody […]
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CMS Pays for Coronavirus Counseling, Other COVID-19 Billing Updates

CMS Pays for Coronavirus Counseling, Other COVID-19 Billing Updates

Provider reimbursement is now available to physicians who tell their patients to self-isolate at the time of COVID-19 testing, according to CMS. An announcement released late last week in collaboration with the Centers for Disease Control and Prevention (CDC) said CMS will leverage existing evaluation and management (E/M) payment codes to reimburse eligible providers for the coronavirus […]
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E&M Changes_ A Provocative Overview

2021 AMA E&M Changes: A Provocative Overview

Many of us have been immersed in COVID-19 and telehealth billing, coding, and the varying rules among payors of late, all the while the clock has remained ticking on the looming changes to evaluation and management (E&M) services, effective Jan. 1, 2021. It is possible, too, that there are those who have not heard of […]
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New Behavior Assessment Codes for Telehealth

New Behavior Assessment Codes for Telehealth

  There’s a slew of new health behavior assessment codes for 2020 and, good news, they’re on Medicare’s list of services you can provide via telehealth during the public health emergency (PHE) for COVID-19. Check out this rundown of the new codes and who should be using them. Assessment Codes Include Individual, Group The health […]
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How a Pandemic Impacts HIPAA Requirements

How a Pandemic Impacts HIPAA Requirements

As healthcare business professionals, we have been trained in the importance of following HIPAA privacy and security requirements. As coders, auditors, and health information services professionals we are bound by the HITECH Act of 2009, which outlines the responsibilities of “business associates” with respect to HIPAA requirements. As business associates, we are required to “appropriately […]
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FY21 ICD-10-CM – More Than Codes

FY21 ICD-10-CM – More Than Codes

The FY21 ICD-10-CM codes were released by the Center for Disease Control and Prevention (CDC) on July 1, 2020.  The new and updated diagnosis codes are another part of the preparation for FY21 which begins on October 1, 2020. The final codes were very similar to the diagnosis codes that were released earlier this year. […]
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Early Impact Of CMS Expansion Of Medicare Telehealth During COVID-19

Early Impact Of CMS Expansion Of Medicare Telehealth During COVID-19

During the Coronavirus pandemic, the Centers for Medicare and Medicaid Services (CMS) has taken unprecedented action to expand telehealth for Medicare beneficiaries. Since people were advised to stay at home to reduce risk of exposure of COVID-19, there was an urgency to increase access to telehealth services to help people who need routine care and […]
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