Stop Revenue Drain With Proper Medical Billing and Coding Practices

Revenue leakages and medical billing in the healthcare industry can lead to significant losses due to long payment cycles. These involve the right medical coding insertion, medical billing process, and increasing claims for payers to get reimbursed on time. Some notable loopholes must be tracked to provide stability to your healthcare business and ensure a … Read more

CMS adds Remote Therapeutic Monitoring (RTM) codes in 2022

The Centers for Medicare & Medicaid Services (CMS) has issued its 2022 Medicare Physician Fee Schedule proposed rule. This time new CPT codes has been added for remote therapeutic monitoring (RTM), which will be totally new for medical coders. Proposed Remote Therapeutic Monitoring Coding and Coverage and Coding The remote therapeutic monitoring codes are described … Read more

2022 CPT code set released by AMA

Healthcare coding professionals should take note of changes issued by the American Medical Association (AMA) to the Current Procedural Terminology (CPT) code set for 2022. Some changes apply to administration of the COVID-19 vaccine. Eight codes in the series for COVID-19 vaccination were approved in the latest update. A tracker is available to help with coding based on vaccine brand and dose. … Read more

List of New ICD-10 codes for 2022

Below are the list of New ICD 10 codes added for 2022 ICD 10 codebook M54.50 Low back pain, unspecified M54.51 Vertebrogenic low back pain M54.59 Other low back pain R05.1 Acute cough R05.2 Subacute cough R05.3 Chronic cough R05.4 Cough syncope R05.8 Other specified cough S06.A Traumatic brain compression and herniation S06.A0 Traumatic brain … Read more

Practice Q&A for Medical coders for AAPC exams

1. A patient receives two vaccines that are administered intramuscularly and two vaccines that are administered orally. The patient receives no counseling on the vaccines. Which codes should be used to report these services? A. 90471 x2, 90473 x2 B. 90471, +90472, 90473, +90474 C. 90471, +90472, +90474 x2 D. 90460, +90461 x3 2. A … Read more

Medicare covered COVID-19 Vaccine Boosters

Make sure claims and documentation support medical necessity. Healthcare providers have been given the go-ahead to provide an additional dose of the COVID-19 vaccine to certain patients. Here’s what you need to know for Medicare claims. The U.S. Food and Drug Administration (FDA) amended the emergency use authorization for both the Pfizer BioNTech COVID-19 vaccine … Read more

How to correctly report the E/M add-on G codes

Hopefully, everyone is using the new E/M codes without issue. CMS added two HCPCS codes to represent “additional” time for E/M services. These are important qualifiers, as medical necessity audits are likely to follow. The latest instructions from CMS on proper use of the G codes: “When the practitioner selects a visit level using time, the … Read more

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