3 / 26 / 2024
By
Lori Carlin &
Angela Wood
In part one we discussed procedure to procedure (“PTP”) edits. In this article we will discuss Medically Unlikely Edits (“MUEs”). The Centers for Medicare and Medicaid Services (“CMS”) defines...
3 / 21 / 2024
Introduction March is Kidney Awareness Month, and Pinnacle wants to share updates regarding the new conversion from v24 to v28. What better way to celebrate than to brush up...
3 / 19 / 2024
By
Lori Carlin &
Angela Wood
In the introduction, we discussed the three (3) edit types that make up the National Correct Coding Initiative (“NCCI”). Probably the most familiar of those edits are the procedure...
3 / 14 / 2024
By
Lori Carlin &
Angela Wood
One of the best resources we frequently recommend to providers is the National Correct Coding Initiative (“NCCI”) policy manual. It is like using a crystal ball to peer into...
2 / 15 / 2024
The Centers for Medicare and Medicaid Services (CMS) included some changes related to RHCs and FQHCs in the 2024 Final Rule. As referenced in our second article, CMS will...
2 / 8 / 2024
Effective January 1, 2024, the Centers for Medicare and Medicaid Services (“CMS”) established an active payment status for CPT codes 96202 and 96203 (caregiver behavior management/modification training services) and...
2 / 1 / 2024
The 2024 Medicare Physician Fee Schedule Final Rule revealed some great advancements in behavioral health services and how CMS will allow them to be billed. We will highlight some...
1 / 25 / 2024
According to the Centers for Medicare and Medicaid Services (“CMS”), Medicare Physician Fee Schedule Final Rule: “Split (or shared) E/M visits refer to visits provided in part by physicians...
1 / 18 / 2024
The 2024 Medicare Physician Fee Schedule Final Rule is packed with changes that will impact physician’s revenue. In this article, we provide an overview of some of those changes....
12 / 20 / 2023
By
Amy Crenshaw-Pritchett
As we all know, until the release of the 2024 Physician Fee Schedule Final Rule on November 2, 2023; SDoH assessments were “voluntary” reporting measures for the Centers for...
