Updated Articles

  1. UHC Community Plan of NY- Requiring NPI and taxonomy codes as of August 1, 2024

    United Healthcare announced today that beginning August 1, 2024, claims must include both an NPI and a taxonomy code to be processed.   Here is the announcement from UHC: https://www.uhcprovider.com/en/resource-library/news/2024/ny-medicaid-np...
  2. CMS - Changes to Amount in Controversy Threshold effective Jan 1, 2024

    Did you know that the amount in controversy to obtain an administrative law judge (ALJ) hearing and/or a judicial review in federal district court is changing effective January 1, 2024? Beginning January 1, 2024, the thresholds will b...
  3. Medicare Home Health PPS CY 2024

    Does your office provide home health services to Medicare patients? Medicare has recently released its MLN Matters newsletter highlighting changes coming January 1, 2024. A link to the newsletter is below. Medicare Home Healt...
  4. 2024 Medicare Deductible & Coinsurance rates

    CMS (Centers for Medicare & Medicaid Services) has recently released deductible, coinsurance, and premium rates for CY 2024. Here are the highlights: Part A Part A Deductible - $1,632.00 Part A Coinsurance - $408.00 p...
  5. 2024 Medicare Physician Fee Schedule

    The Centers for Medicare and Medicaid Services (CMS) released the final rule on the CY 2024 physician fee schedule on November 2, 2023. Details are included in the article linked below. https://www.cms.gov/newsroom/fact-sh...
  6. Medicare Physician Fee Schedule Final Rule Summary CY2024

    Medicare Fee Schedule Final Rule CY2024 Medicare has published a summary of the changes forthcoming for CY2024. They have made changes to: Telehealth services E/M visits Behavioral health services Dental and oral health ser...
  7. CPT 2024- What to expect

    CPT 2024 Each year, the American Medical Association (AMA) releases new and revised codes that reflect what is happening in medicine and in response to feedback received from medical providers. New technology, new viruses/illnesses, ...
  8. Provider Type and Taxonomy Codes added as of Jan 1, 2024

    New Provider Types and Taxonomy Codes The Centers for Medicare and Medicaid Services (CMS) has created 2 new provider types and associated taxonomy codes as of January 1, 2024. They include: Marriage & Family Therapist Taxo...
  9. COVID Vaccine post PHE

    COVID-19 Vaccine post PHE Looking for COVID-19 vaccine billing information post the Public Health Emergency (PHE)? Here is the latest from CMS: https://www.cms.gov/medicare/payment/covid-19/medicare-covid-19-vaccine-shot-payment#Home ...
  10. HCPCS Code G2211

    HCPCS Code G2211 Do you know the ins and outs of billing this new HCPCS code? Check out this article from CMS for details: https://www.cms.gov/files/document/mm13473-how-use-office-and-outpatient-evaluation-and-management-vis...