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...
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Medical billers and coders are crucial in ensuring that Home Healthcare Billing Services in 2025 comply with CMS regulations. Their expertise helps home healthcare providers take full advantage of telehealth opportunities. Accurate Coding and Documentation: Ensuring proper telehealth billing codes are used...
considered appropriate for the item or service, in terms of whether it meets all of the following criteria:(A) Furnished in accordance with accepted standards of medical practice for the diagnosis or treatment of the patient's condition or to improve the function of a malformed body member;...
The act aims to expand Medicare coverage to include prescription digital therapeutics. While it hasn’t moved forward in Congress, Franco explained that the sponsors had written to CMS “to clarify that coding and payment for FDA-approved digital therapeutics use incident to clinician ser...
Clinical Coding & Medical Review Nearly 42% of Medicare Claims for E/M Services are Coded Incorrectly. Simply Implementing strong Quality Controls within your firm will improve coding and documentation accuracy, avoid under Payment or Over Payment and improve Quality Care.Read More ...
A new law that delays national implementation of the next-generation medical coding system known as ICD-10 has focused intense attention on the CMS to provide clarity for how hospitals, doctors and insurance companies should move forward.The leader in healthcare business news, research & data...
Prior authorizations for medical care will become quicker and easier, while saving money, according to the Centers for Medicare & Medicaid Services.
This, in turn, offers opportunities for more care providers to bill for remote patient monitoring services. “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 b...
Medicare Advantage plans cleared to go beyond medical coverage—even groceries Apr 9, 2018 12:53pm CMS overhauls Direct Contracting Model to include new requirements on governance, health equity in 2023 Feb 24, 2022 04:10pm How the feds should handle rampant insurer upcoding ...