Updated Articles

  1. 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...
  2. 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...
  3. 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 Taxono...
  4. 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 ...
  5. 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...
  6. Limitation on Recoupment of Medicare Overpayments- effective July 1, 2024

    Medicare Overpayments The attached article from CMS explains the changes coming July 1, 2024, regarding Medicare Overpayments. https://www.cms.gov/files/document/mm11808-limitation-recoupment-medicare-overpayments.pdf ...
  7. Are you a marriage/family therapist or a mental health counselor billing Medicare?

    New providers eligible to bill Medicare As of January 1, 2024 Marriage and Family Therapists and Mental Health Counselors are eligible to bill Medicare for services rendered. CMS has published an article answering some frequently asked questi...
  8. Medicare coverage for Mental Health

    Mental Health Coverage for Medicare Patients Have questions on what your patient's mental health benefits through Medicare are? Check out this MLN titled Medicare and Mental Health Coverage.   MLN 1986542 ...
  9. UHC: Home Health Changes effective July 1, 2024

    UHC Home Health Service Changes Are you aware of the changes coming for providers of Home Health Services for United Healthcare patients? The link to the revised policy is below. https://www.uhcprovider.com/conte...
  10. Medicare Requirement as of 1/01/2025 - TB Modifier

    Modifier TB As of 1/01/2025, modifier TB will be required by Medicare for providers who bill separately Part B drugs and participate in the 340B Drug Pricing Program. Additional information can be found in the MLN Fact Sheet MLN4800856...