The Centers for Medicare and Medicaid Services is once again releasing Comparative Billing Reports to some providers who perform critical care evaluation and management services. This time, they will be analyzing claims that occurred in part during the COVID-19 public health emergency, with dates of service from Jan. 1, 2020, through Dec. 31, 2020. READ MORE
While recent changes to office or other outpatient evaluation and management coding and billing guidelines may not affect anesthesiologists most of the time, there are instances when knowing the new rules will come in handy, especially with patients who have complex medical co-morbidities. READ MORE
An 11th-hour COVID-19 relief package was approved by both houses of Congress a few days before Christmas and signed into law by President Trump a few days after. The legislation, second in size only to the CARES Act passed last spring in the early days of the pandemic, provides wide-ranging relief to multiple sectors throughout the country, including physicians. READ MORE
Earlier this fall, the American Medical Association released the 2021 Current Procedural Terminology code set. In this post, we highlight several noteworthy ones.
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Earlier this month, CMS published the final rule of the 2021 Medicare Physician Fee Schedule. After legislatively mandated adjustments, the 2021 conversion factor will be $32.41, a 10 percent decrease from the 2020 PFS conversion factor. In addition to changing the payment rates for 2021, the Final Rule also makes changes to several payment policies. We’ve highlighted a few of the biggest changes. READ MORE
Beginning in November, the Centers for Medicare and Medicaid Services began releasing Comparative Billing Reports to some providers who perform critical care evaluation and management services, including emergency physicians. READ MORE
The AMA recently released a new CPT code intended to be billed for additional expenses incurred because of the COVID-19 public health emergency. Starting September 8, 2020, 99072 can account for both additional clinical staff time as well as additional supplies required specifically because of the PHE during office-based visits. READ MORE
CMS recently published the latest proposed Medicare Physician Fee Schedule, which updates payment rates and policies for 2021. We’ve highlighted a few of the biggest changes for anesthesiologists. READ MORE
The Centers for Medicare and Medicaid Services CMS recently published the proposed draft of the Medicare Physician Fee Schedule for 2021. In addition to changing the payment rates for 2021, the Proposed Rule also recommends changes to several payment policies. We’ve highlighted a few of the biggest changes. READ MORE
Beginning July 1, 2020, Indiana Medicaid will begin reimbursing Emergency Medical Services provider agencies for administering naloxone. Below, we’ve provided guidelines for documenting, coding and billing this newly reimbursed service. READ MORE
