Here's why a proposal for prior authorization CPT codes returned to the drawing board

Published: Mon, 07/08/24

Updated: Mon, 07/08/24

Link to all things medical coding & billing

Here's why a proposal for prior authorization CPT codes returned to the drawing board

A recent proposal to report prior authorization to insurance plans through CPT codes was withdrawn at the eleventh hour when its physician advocate made an unexpected discovery: For certain codes and in very narrow circumstances, the prior authorization requirements were already in place...

IPPS: Planning for the Second Half of 2024

As we begin the second half of the year, it is a convenient time to make plans and take stock of our coding operations. There will be much to do when the Inpatient Prospective Payment System (IPPS) Final Rule is released. For example...

Improving Patient Financial Engagement: A Tech-Driven Approach

In a landscape where patients are responsible for an ever-growing share of healthcare costs, traditional billing practices are falling short as consumers fall farther behind on their payments. Reversing this troubling trend calls for new tech-enabled billing and payment approaches that deliver personalized and increasingly digital patient financial experiences...

Simplify your clinical note templates to make them shorter, faster

Most physicians wish they could spend less time writing clinical notes. But experts say that the time and energy needed to develop or learn to use new templates can discourage adoption of changes, even if they will save time down the road. “If you could change one thing about how medical care is delivered tomorrow, what would you choose? Would spending...

CMS to Conclude CHOPD Payments: A Response to the Change Healthcare Cyberattack

CMS has announced that payments under the Accelerated and Advance Payment (AAP) Program for the Change Healthcare/Optum Payment Disruption (CHOPD) will conclude on July 12.

These payments, launched in early March, were designed to mitigate cash-flow disruptions faced by Medicare providers and suppliers, including...

New ICD-10-PCS Codes Are Here

The new ICD-10-PCS codes for the 2025 fiscal year (FY) were posted on the Centers for Medicare & Medicaid Services website on June 6. The Version Summary reflects 371 new codes and 61 deleted codes. The table below shows the changes by section...

P.O. Box 3824
Youngstown OH 44513
USA

Unsubscribe | Change Subscriber Options