Telehealth has become an indispensable part of modern healthcare, offering convenience and accessibility to patients and providers alike. For practices operating under a Fee-For-Service (FFS) model, navigating the complexities of telehealth billing is crucial for financial stability and accurate reimbursement. While the landscape is constantly evolving, especially with extensions of pandemic-era flexibilities, understanding the core […]
Medical coding is at the heart of healthcare administration, ensuring accuracy, compliance, and efficiency in the complex world of medical billing and reimbursement. With the rapid advancement of technology, regulatory changes, and an evolving healthcare landscape, medical coding is undergoing a transformative shift. As part of this shift, professionals are turning to resources like ‘CPT […]
It is predicted that the healthcare industry will continue to evolve rapidly as we enter 2025. Medical coding, one of the cornerstones of healthcare administration, faces unique Coding challenges that require innovative strategies to succeed. For organizations to maintain accuracy, compliance, and efficiency, it is imperative to stay current with the changing regulations, technological advances, […]
Healthcare providers need to stay informed about Healthcare Coding Updates to the Current Procedural Terminology (CPT), International Classification of Diseases (ICD-11), and Healthcare Common Procedure Coding System (HCPCS) in the ever-evolving world of medical coding and billing. To ensure accurate coding and maximize revenue cycles, we must understand these Healthcare Coding Updates as we enter […]
Telehealth billing, the process of submitting claims for telehealth services, is an essential component of this virtual care model. Efficient and accurate telehealth billing ensures that providers are reimbursed for their services and that patients are not overbilled. The healthcare landscape has undeniably shifted towards a more virtual model. Telehealth, the utilization of telecommunications technology […]
Navigating the complexities of telehealth coding is crucial for ensuring that services are properly reimbursed. This guide provides essential information and tips for coding telehealth services accurately, helping physicians avoid denials and recoupments. 1. Telephone Services: Use Cases: Suitable for straightforward problems like simple rashes, asymptomatic coughs, and medication refills. Requires a minimum of five […]
On December 1, 2020, the Centers for Medicare & Medicaid Services (CMS) finally issued the final rule for the 2021 Medicare Physician Fee Schedule (PFS). This was later than usual due to the public health emergency (PHE) and gives practices little time to prepare. However, we found that the changes from the proposed rule were […]
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 […]
For several years, we’ve seen Medicare and the American Medical Association’s Current Procedural Terminology (CPT) manual slowly approach the age of telehealth. Despite a lot of discussion and many headlines during each of the past few years, the codes and coverage embracing the modern age of medicine have lagged far behind the technology. This isn’t […]
Without much warning, the novel Coronavirus, or COVID-19, has taken over our healthcare system. It has taxed our healthcare workers, our national stockpiles of PPE, and affected millions of Americans nationwide. In addition to healthcare workers on the front lines, the pandemic has also impacted the healthcare revenue cycle, causing major confusion, questions, and inconsistencies as […]