Why Fraud Analytics Are Important to You
A multi-million dollar scheme serves as a prime example to the benefits of Fraud, Waste, and Abuse (FWA) protection. The story of a doctor performing an alarmingly high amount of surgeries not typically conducted by their specialty is awakening to the need for robust safeguarding solutions.
Evaluation and Management with Psychotherapy
CPT provides distinct codes for reporting face-to-face Psychotherapy with two different approaches. Either an Evaluation and Management (E/M) code can be submitted in tandem with a Psychotherapy add-on code, or a standalone Psychotherapy code can be submitted. Press "Read More" to learn how to use these codes appropriately.
CMS Adds and Updates Place of Service Telemedicine Codes
On January 1, 2022, CMS’s Place of Service (POS) Workgroup added new POS code 10, with description "Telehealth Provided in Patient’s Home". Simultaneously, the established POS code 02 description was changed to "Telehealth Provided Other than in Patient’s Home".
Effective dates now known for Pfizer and Moderna vaccines, AstraZeneca vaccine coming
Pfizer and Moderna Covid vaccine codes receive effective dates, AstraZeneca vaccine assigned procedure codes but not yet effective.
CMS Adds New HCPCS COVID-19 Lab Code
CMS is adjusting its payment policy for COVID-19 laboratory tests starting in Jan 1, 2021 in order to incentivize high throughput COVID-19 laboratory test results and ensure turnaround of results are provided in a clinically meaningful timeframe.