Healthcare Industry Articles
Welcome to our news and healthcare industry updates. Here you will find information relevant to medical billing and coding, including important news and updates from AMA, CMS, and other Medical industry authoritative resources.
Please check back frequently as new updates are made bi-monthly.
Telehealth 2025: Audio-Only First Quarter
January 17, 2025
We have been receiving many inquiries and emails regarding the billing of Audio Only Telehealth for Medicare and Commercially Insured patients starting January 1st, 2025. The published guidance is muddy …
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Telehealth 2025: The Final Rule
December 2, 2024
CMS is set to reinstate certain pre-pandemic telehealth policies if Congress doesn’t step in ASAP. CMS issued the calendar year (CY) 2025 Medicare Physician Fee Schedule (MPFS) final rule on …
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Complexity Add-on Code G2211
July 29, 2024
Effective January 1, 2024, complexity add-on code G2211 may be submitted with Evaluation and Management (E/M) office or outpatient (O/O) visits, 99202-99215. G2211 includes services enabling practitioners to build longitudinal …
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Telehealth Fact Sheet and E/M Tips for 2024
May 13, 2024
As we all know the PHE, public health emergency, ended on May 11th, 2023, but the confusion on how to report Telehealth services continues to live on. When Medicare published …
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Reporting SDoH G0136 in compliance
April 6, 2024
(updated 4/6/2024) – This is also posted on the NAMAS.co website 2024 brought new HCPCS codes that Medicare, Medicare Advantage and some 3rd-party Commercial plans that they will now pay …
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How to Interpret the SDoH Assessment Appropriately
February 26, 2024
2024 brought new HCPCS codes that Medicare, Medicare Advantage and some 3rd-party Commercial plans that they will now pay for. One of those codes is the G0136; that is the …
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Telehealth Fact Sheet and E/M Tips for 2024
January 4, 2024
As we all know the PHE, public health emergency, ended on May 11th, 2023, but the confusion on how to report Telehealth services continues to live on. When Medicare published …
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Pre-Op Visits vs. Pre-Op Clearance Visits: Which Are Billable?
August 28, 2023
A question comes up often regarding billing for pre-op visits. Should we? Or shouldn’t we? There is conflicting published guidance on this question from different sources. First, this depends on …
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Prescription Drug Management: The Moderate Risk element of E/M Coding
May 19, 2023
Appropriate documentation of prescription drug management continues to be an opportunity for many physicians. Doctors need to know that simply adding the current medication list to the progress note is …
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OCR Issues a 90-day transition for HIPAA Compliant Telehealth Platforms
April 26, 2023
Under the PHE (Public Health Emergency), non-HIPAA compliant platforms (like smartphone applications FaceTime and Skype) were allowed as long as they were not public facing (i.e., TikTok, Vimeo, etc). But …
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(PHE) Public Health Emergency set to end on May 11th
February 6, 2023
An announcement on Monday, January 30th, by the OMB (Office of Management and Budget), and the White House, stated that they plan to end the COVID-19 national emergency and public …
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Medical Acronyms You Need To Know!
September 9, 2022
In this climate of texting and wanting quick results for everything from ordering your lunch, to ordering medical tests, to attending a meeting with a speaker who uses a lot …
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What’s changing with the new 2023 AMA CPT E/M update?
July 15, 2022
Physician practices have been trying to keep up with all of the recent changes that have been made to the Evaluation and Management Codes over the past 2 years in …
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2nd Quarter 2022 Blog – Coding Corner Q&As
June 27, 2022
When you need answers to coding, billing, and reimbursement questions, who do you turn to? I am sure it isn’t Ghostbusters!. If you are a Coding Corner member or Executive …
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PHE Extended But Some Waivers Expired
April 25, 2022
The PHE was renewed another 90-days effective April 16th, 2022, but what 1135 waivers expired? Renewal of Determination That A Public Health Emergency Exists As a result of the continued …
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Renewal of Determination That A Public Health Emergency Exists
October 19, 2021
As a result of the continued consequences of the Coronavirus Disease 2019 (COVID-19) pandemic, on this date and after consultation with public health officials as necessary, I, Xavier Becerra, Secretary …
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Are you a HIPAA entity? The “Privacy Law” is probably not what you think.
September 10, 2021
If you have heard the acronym HIPAA thrown around a lot lately, you are probably thinking, “Do I know what HIPAA means?”. So many are throwing that term around in …
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Renewal of Determination That A Public Health Emergency Exists
July 19, 2021
As a result of the continued consequences of the Coronavirus Disease 2019 (COVID-19) pandemic, on this date and after consultation with public health officials as necessary, I, Xavier Becerra, Secretary …
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