CMS has requested that Medicare Advantage organizations relax or waive prior authorizations due to the impact of the coronavirus Delta variant.

Research shows that about 14 percent of adults developed at least one new clinical sequela requiring medical care after recovery from COVID-19, though many specifics have yet to be clarified.

Your practice is considering making a move—or has moved—to a collaborative care model so patients have greater access to mental health care in the primary care setting. It’s a model that requires collaboration and coordination that doesn’t always fit into previous billing codes.

Despite skepticism, artificial intelligence (AI) can be a boon for physicians…but some improvements are needed first. Notably, AI algorithms need to be validated, and bias toward particular groups of patients must be removed from them if they are to achieve their full...

Last week, the Centers for Medicare & Medicaid Services (CMS) started the release of the 2022 final rules, for inpatient psychiatry, inpatient rehabilitation facilities (IRFs), hospice, and skilled nursing facilities (SNFs). And I can sum them up by saying for the majority of our audience, these four rules could not be more boring.

Evaluation and management (E/M) services are likely the most regulated and most often audited services in medical practices. These services can account for more than half of a provider’s income, so it is crucial that they are appropriately documented and coded. A casual approach to E/M coding can result in both improper reimbursement and embarrassing audits. Professional coders in medical practices have a responsibility to...