8 / 27 / 2024
By Kelly Loya
Enhance M&A Success in Healthcare: Leverage Chart Testing for Accurate Valuation In the fast-paced world of healthcare mergers and acquisitions, thorough due diligence is essential. Private equity firms sometimes focus...
6 / 27 / 2024
By Lori Carlin & Alysia Delozier
Before we discuss documentation guidelines, let’s define psychotherapy. Psychotherapy, also known as talk therapy, is a type of therapy during which the provider uses a series of techniques to...
6 / 25 / 2024
By Lori Carlin
If you haven’t already, you should utilize the Medicare Preventive Services education tool from The Medicare Learning Network! Not only does it lay out all of Medicare’s preventive services...
6 / 13 / 2024
By Lori Carlin
Since 2020, telehealth services have seen many changes, but there were some significant changes to telehealth in the Centers for Medicare and Medicaid Services (“CMS”) 2024 Physician Fee Schedule...
5 / 16 / 2024
By Amy Crenshaw-Pritchett
On April 1, 2024, the Centers for Medicare and Medicaid Services (“CMS”) finalized their Calendar Year (CY) 2025 rates for Medicare Advantage (“MA”) and Part D prescription drug programs....
4 / 23 / 2024
In January of 2021, the American Medical Association (AMA) released new evaluation and management (E/M) guidelines that simplified the documentation requirements for outpatient E/M services. On the heels...
4 / 23 / 2024
By Lori Carlin & Alysia Delozier
Recently, we have been getting questions about the new Healthcare Common Procedural Coding System (“HCPCS”) code G2211 (Visit complexity inherent to evaluation and management associated with medical care services...
4 / 17 / 2024
By Lori Carlin
If you have questions about how to properly bill Medicare for bilateral procedures, the National Correct Coding Initiative (“NCCI”) policy manual has your answers. Starting on page 30 of...
4 / 3 / 2024
By Lori Carlin
In this series of articles on the National Correct Coding Initiative (“NCCI”) Policy Manual, we have discussed procedure to procedure (“PTP”) edits and medically unlikely edits (“MUE”), but were...
3 / 26 / 2024
By Lori Carlin
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...
