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 [...]
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 [...]
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 [...]
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. [...]
Happy Holidays! The Express Medical Billing office will be closed December 24 through December 27 and December 31 through January 3. From everyone here at EMB, we wish you and yours a very happy holidays! Changes in Flu Coding For all providers who will administer vaccines in the 2021-2022 flu [...]
In This Public Health Emergency Update: No Surprises Act Implementing the Second Interim Final Rule Telehealth and Behavioral Care 2022 Medicare Physician Fee Schedule Final Rule New COVID-19 Vaccine Codes UHC Temporary Cost-sharing Waivers Extended Cigna PHE Accommodation Updates General Updates Surprise Billing and Protecting Consumers The Consolidated Appropriations Act of [...]
In This Public Health Emergency Update: Telehealth cost-sharing and coverage changes Aetna telehealth changes Full FDA approval for Pfizer vaccine Additional dose allowance of the COVID vaccine CMS requests Medicaid claim documents be sent directly to MO HealthNet providers Resumption of Targeted Probe and Educate (TPE) Reminders Telehealth Cost-sharing In March [...]
