Articles
UHC - Q4 2023 MA-PCPi program enhancements
UHC MA-PCPi Program United Healthcare has made a few updates to the 2023 MA-PCPi (Medicare Advantage Primary Care Physician Incentive program). The changes apply to Q4 2023 only. For additional information, please refer to the following art...
Struggling with Z codes?
Z Codes CMS (Centers for Medicare and Medicaid Services) has recently released a graphic that could help shed some light. https://www.cms.gov/files/document/cms-2023-omh-z-code-resource.pdf ...
Place of Service (POS) code 27
POS Code 27 The Centers for Medicare and Medicaid Services (CMS) has created a new place of service code 27 to use when services are provided in a non-permanent location, effective October 1, 2023. If you provide services to patients w...
Submitting DME claims that are subject to $35 out of pocket cap
DME Claim Cap Beginning July 1, 2023, Medicare will begin limiting the patient's out-of-pocket cost to $35 for a month's supply of insulin used in an insulin pump. Medicare is advising to refrain from billing for supplies of insulin ...
CPT 2023 - Are you ready?
Each year, the AMA releases new and revised codes that reflect what is happening in medicine and upon feedback received from medical providers. New technology, new viruses/illnesses, and new understandings are all considered whe...
2023 Clinical Lab Fee Schedule
The Centers for Medicare and Medicaid Services (CMS) has released the 2023 Clinical Lab Fee Schedule. It includes mapping new CPTs for clinical lab testing and updates for costs subject to the reasonable charge payment.
The files can be acces...
CY 2023 Proposed Medicare Physician Fee Schedule
Due to the massive (2,066 pages) size of the CY2023 Medicare Physician Fee Schedule, CMS has released a 12-page summary of the key provisions that you need to know. Comments can be made on the proposed fee schedule until September 6, 2022. The...