The American Medical Association’s (AMA) CPT Editorial Panel at its February meeting approved technical corrections to the E/M coding guidelines for outpatient visits. The corrections were uploaded to AMA website on March 9 and go into effect retroactively from January 1.
Hospitals and health systems are facing billions in lost revenue in 2021, even under the most optimistic scenarios, according to a recent report released by the AHA.
Arthroscopic surgical procedures involve the insertion of a small scope into the interior of a joint, allowing the physician to view the joint without making a large incision through the skin. Review CPT coding for arthroscopic procedures of the hip and knee joints.
Q: Do we need to submit a formal request to CMS for any of the COVID-19-related waivers to apply? Do we need to keep records or documentation pertaining to which waivers we've used and the services they apply to?
A new report from the Office of Inspector General (OIG) shows that Medicare billing for high-level inpatient stays increased over a six-year period, sparking concerns by the government about upcoding.
Automating claim transaction saved the healthcare providers, including medical and dental providers, and payers $122 billion in 2019–2020 and moving to fully electronic transactions could yield an additional $16.3 billion in savings, according to the Council for Affordable Quality Healthcare Inc. 2020 Index.
Q: During the public health emergency, are outpatient therapy services provided to a patient located in their home or a clinic billed in the same way as outpatient therapy services provided to a patient whose home has been designated a provider-based department (PBD)?
