from new reimbursement models to stricter documentation rules and expanded telehealth policies. To stay compliant and financially stable, SNFs should consider partnering with expert billing and coding services. By staying informed and adopting best practices, SNFs can navigate...
AtMedical Billers and Coders (MBC), we providemedical coding and billing servicesto help healthcare providers and coding teams adapt to evolving regulations, reduce denials, and improve revenue cycle efficiency. Key CMS 2025 Changes in Medical Coding 1. ICD-10-CM Code Updates CMS has introduced ...
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HCPCS Codes:CMS solicits comments on 73 new healthcare common procedure coding system (HCPCS) codes effective April 1, 2024, and 127 new HCPCS codes effective July 1, 2024. CMS will also solicit comments on HCPCS codes effective Oct. 1, 2024, and Jan. 1, 2025, in the Final Rule. ...
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Cites two transmittals issued in February 2004 indicating that implementation instructions for outpatient PPS changes to billing and payment for outpatient drugs will require hospitals to submit adjustment bills and fiscal intermediaries to make certain payment adjustments. Implementation of changes enacted by...
benefits, physician certification requirements, coding and billing guidelines, and payment rates under the IOP benefit. CMS finalized its proposal that IOP services may be furnished in hospital outpatient departments, community mental health centers, federally qualified health centers and rural health ...
coding and billing staff are aware of and understand the changes, particularly as they apply to SNF residents’ travel outside the facility for services rendered in other settings, including whether in a hospital or non-hospital setting, where consolidated billing requirements may or may not apply...
Medical coding contractors offer a valuable service to healthcare providers who would rather outsource coding and billing rather than handling things in-house. Some contractors are better than others, but there is one thing they all have in common: the need to present some sort o...
In CY 2023, CMS said it has observed what it calls SAHS (significant, anomalous, and highly suspect) billing for the Healthcare Common Procedure Coding System (HCPCS) codes A4352 (Intermittent urinary catheter; Coude (curved) tip, with or without coating (Teflon, silicone, ...