1 / 4 / 2021
Beginning January 1, 2021, the new Centers for Medicare and Medicaid Services (“CMS”) Evaluation and Management (“E/M”) guidelines will take effect for Office and Other Outpatient codes *99202-99205 and 99212-99215....
7 / 30 / 2020
Modifier CS is used for the full reimbursement of COVID-19 testing visits from Medicare and private insurers. For services performed on March 18, 2020 through the end of the Public Health Emergency...
10 / 14 / 2020
The Centers for Medicare & Medicaid Services (CMS) planned E/M office-visit guidelines and pay rates are scheduled to go into effect January 1, 2021. Get ready for these changes with...
1 / 27 / 2021
By Allison Carty, JD, MBA Director, Pinnacle Healthcare Consulting Medicare Physician Fee Schedule Changes – What Now? An Introduction… As many in healthcare have been tracking, the Centers for Medicare...
2 / 9 / 2021
Change is frequently difficult; however, without it, progress is stifled. As part of the Medicare Physician Fee Schedule Final Rule, in 2019 The Centers for Medicare and Medicaid Services (“CMS”)...
3 / 21 / 2022
2022 brought several updates to the American Medical Association’s CPT book with the Surgery/Musculoskeletal section receiving a large overhaul. Below, we will be covering those updates related to this system...
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...
10 / 21 / 2022
By
Anthony Long &
Jason Baldwin &
Lori Carlin
(Based on the July 7, 2022 Proposed Rule) Rate and Conversion Factors With the budget neutrality adjustments and the required statutory update to the conversion factor for CY 2023 of...
11 / 11 / 2022
With the implementation of the AMA (American Medical Association) E/M (Evaluation and Management) documentation guidelines for office and outpatient visits in 2021 (and the pending 2023 E/M guideline changes for...
6 / 21 / 2023
By
Andrea Ferrari &
Jodi Nayoski
1. What is a split/shared service? This term refers to evaluation and management services that are performed partly by a physician and partly by a non-physician practitioner (NPP) who...
