Updated Articles

  1. Updated Advanced Beneficiary Notice (ABN) form

    Updated ABN Were you aware that the Centers for Medicare & Medicaid Services (CMS) updated the Advanced Beneficiary Notice (ABN) form? The new form CMS-R-131 is mandatory as of 6/30/2023. Any ABN signed after 6/30/2023 that is on the previ...
  2. New Place of Service (POS) code 27

    New POS Code 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 ...
  3. United Healthcare removes preauthorization requirements for many services

    UHC Reauthorization Requirements Using a phased-in approach, United Healthcare has removed reauthorization requirements from many plans for many different services. Please see this listing from United Healthcare: https://www.uhcprovid...
  4. Redesigned CMS website

    CMS Website Did you know that CMS has recently redesigned its website? The updated version promises streamlined navigation and a refreshed landing page. They are looking for comments via a feedback button located on each page. ...
  5. CMS- 2023 E & M Services Guide

    2023 E & M Code Updates CMS has "made significant updates to the language, order, and formatting of this product to better meet provider needs and improve understanding." Attached is a link to their 2023 Evaluation and Management Services ...
  6. 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 ...
  7. Understanding the streamlined COVID-19 vaccine codes

    COVID-19 Vaccine Codes Please see the linked article from the American Medical Association's (AMA) CPT assistant guide. It describes which CPT codes are valid for the upcoming winter season and which have been eliminated. https://www...
  8. 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...
  9. 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, an...
  10. 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 servi...