This week’s Medicare updates include the April update to the ambulatory surgical center payment system, information on COVID-19 Advanced and Accelerated Payment recoupment, an update on an issue with therapy claims, and more!
Effective management of claim edits and denials is a cornerstone of a sound revenue cycle. See how your organization compares to others and what you can do to improve.
The most impactful overhaul to the E/M coding and documentation guidelines in 25 years went live January 1. The updated guidelines eliminate medical history and physical examination as required elements for reporting E/M codes 99202-99215. E/M coding for outpatient visits is now based on documentation of medical decision-making (MDM) or time spent on the encounter.