ASC Billing Challenges include heightened scrutiny of documentation accuracy. Compliance with CMS guidelines is necessary to avoid penalties, claim rejections, and audits. Proper coding and thorough documentatio
2024. CMS finalized the payment and program requirements for the new IOP benefit. The Final Rule includes the scope of benefits, physician certification requirements, coding and billing guidelines, and payment rates under the IOP benefit. CMS finalized its proposal that...
With CMS 2025 updates,Medical Coding in 2025is becoming more complex, compliance-driven, and technology-focused than ever before. From ICD-10-CM and CPT code updates to stricter E/M documentation requirements, coders must stay ahead of these changes to ensure accurate claim submissions and maximiz...
Clinic and ED Visit Billing Under Hospital Outpatient PPS: CMS guidance on internal OPPS coding.The article examines the clinic and emergency department visit billing under hospital outpatient prospective payment guidance of the Centers for Medicare and Medicaid Services in the U.S. A summary of the...
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. ...
In today’s digital-first economy, enterprise video streaming has become a critical tool for internal communication, virtual training, marketing, and customer engagement. Businesses of all sizes are leveraging video to connect with distributed teams, enhance collaboration, and reach global audiences in ...
“CMS specifically indicates that ‘[s]takeholders have suggested that the new RTM coding was created to allow practitioners who cannot bill RPM codes to furnish and bill for services that look similar to those of RPM,’ and points to documents from the RUC – the commit...
” CMS Administrator Seema Verma stated in anannouncement. “Every state and local official will need to assess the situation on the ground to determine the best course forward, but these guidelines provide a gradual process for restarting non-COVID-19 essential care while keep...
correctly describe the health care services provided. UnitedHealthcare reimbursement policies may use Current Procedural Terminology (CPT®*), Centers for Medicare and Medicaid Services (CMS) or other coding guidelines. References to CPT or other sources are for definitional purposes only and do ...
Simply testing your code is insufficient for good coding practices; you should be ready to deploy your code as well. Do not be afraid of deployment though; Python deployment over the last several years has been getting easier, especially when there are others to manage your deployment for you...