Welcome to our news and updates blog. Here you will find information relevant to medical billing coding, including important news and updates from within the industry, as well as announcements for upcoming webinars and other learning sessions.

Please check back frequently as new updates are made.

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2021 E/M new and established patients office visits 3-part webinar series

Medicare and the AMA have published the 2021 E/M Documentation Update which will be implemented January 1st, 2021. Now that the AMA and CMS has published these changes and 2021 CPT® Books have been shipped, will we end up with a better way to “level” our office visit codes or will this just cause chaos […]

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E/M 2021 CPT Changes Webinar Training Series

Medicare and the AMA have published the 2021 E/M Documentation Update and the changes they intend to make are less than a year away from implementation date of January 1st, 2021. What does this mean for the people documenting E/M services, assigning the code levels, educating physicians and auditing their records? As any coder is […]

Telehealth Billing & Coding for Non-video Phone Calls

As CMS continues to update their policies on Telehealth during the COVID-19 pandemic and the Public Health Emergency, we are here to continue to keep you informed on these changes. QUESTION: What are requirements to use regular office visit codes (i.e new patient codes, 99201-99205, and established patient codes 99212-99215) with Telehealth? Can regular office visit […]

Telehealth spotlight and post-pandemic Medicare audits

Over the past several weeks, we have seen unprecedented changes to rules, edits, and other measures traditionally put in place to stave fraud, waste, and abuse in the healthcare industry. The changes happen so fast and so often with Telehealth services, I could be presenting a Webinar one day, and within hours it can be […]

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Telehealth OnDemand Webinar: CMS and Other Payer Updates

The Centers for Medicare & Medicaid Services (CMS) issued guidance on Health and Human Services (HHS) 1135 Waiver authority that broadens access to Medicare telehealth services. This guidance comes from a CMS FAQ sheet “white paper”, Effective March 6, 2020 and for the duration of the COVID-19 (PHE) Public Health Emergency. CMS will: Waive geographic restrictions, meaning […]

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Urgent Telemedicine update from CMS and the White House

COVID-19 Regulatory Alert: Medicare Telehealth Services Restrictions Lifted Today, the Centers for Medicare & Medicaid Services (CMS) issued guidance on Health and Human Services (HHS) Secretary Alex Azar’s waiver authority that broadens access to Medicare telehealth services. Effective March 6, 2020 and for the duration of the COVID-19 Public Health Emergency, CMS will: Waive geographic […]

Register now for the Telemedicine Virtual Visit Coding 2019 webinar

4-Part Series for 2021 E/M Coding Update – Join us to prepare your practice!

Right now, Medicare has published the 2021 E/M changes they intend to make and now, so has the AMA. What does this mean for the people documenting E/M services, assigning the code levels, educating physicians and auditing their records? As any coder is well aware, when a provider is contracted with a payer, they must […]

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The Fundamentals of Cardiology and Interventional Radiology Coding (IR)

This month is “heart” month as we bring awareness to cardiovascular disease, especially in women. In keeping with that theme, our Virtual Webinar 2-day Conference for April will focus on Coding for Cardiology services, both diagnostic (the basics) and more advanced procedures (PCI, EVAR and Valve Replacements). We also want to bring attention to the […]

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Modifier 22 Letter

As promised, below is my Modifier 22 Letter to assist in appealing claims: when the procedure or surgery was an “increased procedural service” and the reimbursement on the fee schedule does not account for the extra work, time, and difficulty. Modifier 22 Letter (PDF Format)

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The Dangers of “Cloned Notes E/M” in Healthcare Practices

The practice of cloned or copy and pasted documentation is a significant issue in the use of electronic health records (EHRs). A recent study in the Journal of the American Medical Association, found that of hundreds of progress notes examined by researchers, just 18% were newly entered by clinicians (Wang, 2017). Medicare (CMS), defines cloned […]