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9 / 8 / 2021

Put Your Best Foot Forward When Determining Whether Foot Care is Covered

By Leah Fuller
Routine foot care is excluded from coverage by the Medicare program, meaning they will not pay for these services; however, exceptions to this exclusion exist. They include: Routine foot...
8 / 13 / 2021

Catheterization Coding Basics – Untangling Interventional Radiology Rules

I often hear that interventional radiology coding is intimidating.  It can be confusing when you don’t know the rules.  One of the basics is knowing whether the catheter selection...
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...