In This EMB Bulletin: Addressing "Unspecified" ICD-10 Codes 2023 CPT/HCPCS Code Levels Reminders for Post-Pandemic Telehealth General Updates Addressing "Unspecified" ICD-10 Codes As you may be aware, increasing numbers of insurance payors are considering "unspecified" ICD-10 codes as "non-covered" charges. Unspecified codes are meant to be used when the medical record information is [...]
99221 Initial hospital care, per day, for the evaluation and management of a patient, requiring 3 key components: a detailed or comprehensive history, a detailed or comprehensive examination, and medical decision-making that is straightforward or of low complexity. Typically, the admitting problem(s) are of low severity with 30 minutes spent [...]
Congress Addresses Medicare Reimbursement Cuts As you are aware, providers have been calling for Congress to address the nearly 4.5% in cuts imposed by the 2023 Medicare Physician Fee Schedule Final Rule. Separately, Congress has been asked to confront the Statutory PAYGO sequestration that would cut approximately 4% from 2023 Medicare [...]
In This EMB Bulletin: Congress Discusses Medicare Reimbursement Cuts EMB Holiday Schedule Congress Discusses Medicare Reimbursement Cuts As mentioned in the previous bulletin, providers have been calling for Congress to address the nearly 4.5% in cuts imposed by the 2023 Medicare Physician Fee Schedule Final Rule. Separately, Congress is [...]
In This Public Health Emergency Update: Congress Discusses Medicare Reimbursement Cuts 2023 Changes to CPT/HCPCS Codes Behavioral Health Telemedicine End of Year Credentialing Slowdowns Post-pandemic Authorizations General Updates Congress Discusses Medicare Reimbursement Cuts On November 1, the 2023 Medicare Physician Fee Schedule Final Rule was issued. With new payment rules [...]
Deleted Hospital Inpatient and Observation Care Service Codes 99217: Observation care discharge day management 99218 – 99220: Initial observation care for evaluation and management, levels 1 – 3 99224 – 99226: Subsequent observation care for evaluation and management, levels 1 – 3 The same codes will now be employed for [...]
In This Public Health Emergency Update: Changes to CPT/HCPCS Codes Coming in 2023 Changes to ICD-10 Codes Coming in 2023 No Significant COVID PHE Changes General Updates Changes to CPT/HCPCS Codes Coming in 2023 To reiterate a topic mentioned in the last bulletin, the American Medical Association released a proposal [...]
Telehealth Acknowledgement of Financial Responsibility Template
In This Public Health Emergency Update: Public Health Emergency Extension Recommendations for Telehealth and Commercial Plans What the "No Surprises Act" Means for Medical Debt Audit Reminder Coding Changes in 2023 General Updates Public Health Emergency Extension Once again, the Department of Health and Human Services (HHS) has extended [...]
In This Public Health Emergency Update: Public Health Emergency Extension Telehealth Recommendation Telehealth Audits General Update Public Health Emergency (PHE) Extension Recently, the Department of Health and Human Services (HHS) extended the PHE again. The renewal officially took place on April 16, 2022, and it will run though July 15, 2022. [...]
