The first major overhaul in more than 25 years to the codes and guidelines for office and other outpatient evaluation and management (E/M) services was included in today’s release of the 2021 Current Procedural Terminology (CPT®) code set published by the American Medical Association (AMA).
Modifier 25 is a particularly meaningful coding tool for physicians who bill for evaluation and management (E/M) services. CPT guidelines define the 25 modifier as “Modifier 25 is defined as a significant, separately identifiable...
The use of telemedicine and remote care services are critical to the safe management of the COVID-19 pandemic, while also ensuring uninterrupted care for 100 million Americans with chronic conditions.
CMS Makes COVID-19 Data Reporting a Condition of Participation
In a move hospitals are calling “disturbing,” CMS updated Medicare and Medicaid Conditions of Participation to include COVID-19 data reporting during the PHE.
OIG calls on CMS to improve consistency in reviews
Medicare contractors were inconsistent in how they reviewed overpayments during the appeals process, says the Office of Inspector General in a new report.
We are getting more sophisticated and knowledgeable about COVID-19, but I am still getting a lot of questions. Many of them are variations on the theme of what to do with patients who are being...
The Demise of the Medicare Inpatient-Only List – The Myths and Facts
Medicare’s often-misunderstood inpatient-only list may soon be departing, as the Centers for Medicare & Medicaid Services (CMS) has proposed to eliminate it over the next three years...
Telehealth “Connecting patients and physicians” beyond the COVID-19 pandemic
The COVID-19 pandemic has driven digital transformation across healthcare at an unprecedented speed. Telemedicine has emerged as an essential tool for maintaining patient/doctor communication during...
