The COVID-19 pandemic has proven that fast, meaningful change is both possible and necessary for healthcare revenue cycles to keep up with a changing world. But to make truly meaningful change within the revenue cycle, the industry will need to embrace even more changes, such as payer partnerships, greater automation, and standardization across payers. Payer-provider […]
Although the integration of big data into health care has been increasing in recent years, the coronavirus disease 2019 (COVID-19) pandemic has brought this practice to the forefront, as many hospitals and care facilities struggle to keep accurate and timely records of COVID-19 cases while adhering to changing procedures implemented at the federal level. “The use of […]
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 […]
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 […]
One billion dollars is a big number, but more astounding to me, as it pertains to a recent finding by the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG), was that hospitals were found to have incorrectly documented and/or coded severe malnutrition 86.5 percent of the time (173/200)! That’s […]
Telehealth use has surged during the coronavirus pandemic, with the technology spreading far and fast. Doctors and patients alike must be wondering if this is the beginning of a whole new kind of doctor–patient relationship, one that might totally transform our health care system? Maybe. But I’m not convinced, and Americans may not be either […]
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. […]
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 […]
There are a slew of changes and only a few months before you will need to start using the new codes. The Centers for Medicare & Medicaid Services (CMS) released on July 1 the ICD-10-CM code descriptions, tables and index, and addendum for fiscal year 2021. There are 490 additions, 58 deletions, and 47 revisions — increasing […]
The Centers for Medicare & Medicaid Services (CMS) has provided some guidance within the “Medicare and Medicaid Programs Policy and Regulatory Revisions in Response to the COVID-19 Public Health Emergency” interim final rule (IFR), allowing for remote patient monitoring, or RPM. This type of patient care is very helpful for ongoing treatment during the COVID-19 […]










