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3 / 30 / 2021

Evaluation and Management Office/Clinic Visit Documentation Detour: A Bumpy Road Ahead (Medicare and Medicaid)

By
Kelly Loya
Autumn Hull and Kelly Loya published an article for the MiMGMA Spring 2021 Newsletter. MiMGMA March Spring 2021 Newsletter
3 / 8 / 2021

True Telehealth vs. Telephone Services

By
Alysia Delozier
Since the start of the COVID-19 Public Health Emergency (PHE) the term telehealth has been used as an umbrella term for any type of telemedicine visit.  However, everyone should be...
3 / 3 / 2021

Social Determinants of Health (SDOH)

This article covers the definition and examples of social determinants of health (SDOH) and secondary ICD-10-CM codes that may be reported. For more information, contact Lori Carlin, Director of Professional...
2 / 25 / 2021

Managing Corporate Compliance in “Hybrid” Healthcare Organizations

Establishing an effective corporate compliance program, then managing and maintaining the program, is a complex and often difficult proposition for the traditional health care provider or health system.  When the...
2 / 9 / 2021

Evaluation and Management Office/Clinic Visit Documentation Detour: A Bumpy Road Ahead (Medicare and Medicaid)

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”)...
1 / 27 / 2021

Medicare Physician Fee Schedule Changes – What Now?

By
Allison Carty
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...
1 / 4 / 2021

Battle, Balance, and Benefits – New 2021 Evaluation and Management Guidelines

By
Lori Carlin
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....
10 / 14 / 2020

Reference Guide: 2021 E/M Updates

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...
7 / 30 / 2020

Modifier CS Usage

By
Jessica Sullivan
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 / 2 / 2019

Clarifying Screening vs. Diagnostic Testing

If you have questions regarding the difference between a screening and a diagnostic test and when to bill for them separately-You are not alone! Let’s start by going over...

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