Today, we’re going to delve into a topic that’s crucial for healthcare providers – documenting medical necessity. It’s a complex subject, but don’t worry, we’ll break it down together. Understanding Medical Necessity First things first, what is medical necessity? It’s a term that’s often interpreted differently by various payers, but most definitions incorporate the idea […]
In 2024, ophthalmology billing guidelines saw major updates. These changes are reshaping how we manage eye care. It’s crucial for professionals to keep up with the latest ophthalmology coding updates. This helps ensure smooth operations in your practice. The task of mastering eye care coding practices might seem tough. But, this guide aims to simplify […]
This information outlines changes to the Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes specific to radiology and imaging services for the year 2024. Here’s a breakdown of the key points: New Codes Added for 2024: Ultrasound of pelvis, hips, and spine for bone density measurement: A new code (0815T) has […]
In terms of podiatry medical billing and coding procedures, 2024 is a critical year. It introduces a slew of noteworthy modifications, including updated Evaluation and Management (E&M) descriptions and newly proposed vaccine codes that are pending FDA approval. These changes emphasize how crucial it is to remain knowledgeable and flexible in the always changing healthcare […]
In 2024, there are some important updates in how medical procedures and visits are coded for Ophthalmology Practices. These changes affect various aspects of healthcare, from office visits to surgical procedures and vaccinations. Let’s take a closer look at what’s new and how it might impact medical practices. 2024 CPT Changes Overview for Ophthalmology The 2024 […]
Significant changes to the Current Procedural Terminology (CPT) codes and guidelines for 2024 were announced, affecting OB/GYN medical specialties. Let’s delve into the key modifications: 2024 Gynaecology CPT Changes Overview: Additions: The majority of additions pertain to laboratory medicine, reflecting advancements and expansions in diagnostic procedures. Revisions: Notably, revisions have been made to office visit […]
In the face of spiraling healthcare costs and the pressing need for enhanced patient outcomes, Accountable Care Organizations (ACOs) and Clinically Integrated Networks (CINs) have emerged as pivotal models in the transition to value-based care (VBC). These organizations, while sharing a common goal of improving healthcare delivery, embody distinct structures and strategies to manage the […]
In the quest to enhance financial performance in medical practices, especially in small settings, the implementation of robust small practice billing strategies is a game-changer. Recognizing the unique challenges independent practitioners face, effective revenue cycle management for independent practitioners is not simply an administrative task; it is critical to the sustainability and growth of their […]
CMS now has requirements, in 38 states, for providing trigger point injections, effective April 1st, 2024. Depending on your Medicare intermediary a highlight of the new rules are: Initial and follow-up treatments. After an initial injection, subsequent treatments are medically necessary if the patient experiences a minimum of 50% pain relief that is consistent for at […]
Over the years, private practices, especially those with 7 or less providers, have struggled with which compensation model to use when contracting new Physicians and Physician Extenders. The very popular model of Straight Salary, which has commonly been used since the 1990’s, is proving not to be the best model for either the practice or the provider. Straight Salary models, and those that […]
