This week’s Medicare updates include the 2025 MPFS and OPPS final rules, an MLN Fact Sheet on prohibited billing of Qualified Medicare Beneficiaries, and more!
It’s November (where did the time go?), but HIPAA is still HIPAA. So, we thought it might be a good time to dial it back and recall some of the basics. Here are some tips and tricks we’ve compiled for you as we approach 2025.
In January 2024, CMS released guidance for the implementation of the office and outpatient evaluation and management visit complexity HCPCS add-on code G2211. Courtney Crozier provides a breakdown of the code, including documentation requirements and appropriate and inappropriate billing scenarios.
CMS issued a final rule last month that spells out a new appeals process for patients initially admitted as inpatients but later reassigned to outpatients receiving observation services.