1 / 11 / 2022
By Amy Crenshaw-Pritchett
The Centers for Medicare and Medicaid Services (CMS) released the Calendar Year (CY) 2022 Outpatient Prospective Payment System (OPPS) and Ambulatory Surgery Center (ASC) Payment System final rule on...
9 / 8 / 2021
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
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
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
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
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
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
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
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
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....
