New CPT code sets can pose challenges for medical coding companies, so we want to provide you with an overview of the new CPT codes that are being introduced for 2022.
4 Tips for Physician Billing Services as COVID Evolves
While COVID-19 “changed everything”, the change hasn’t stopped. Physicians will find that, even as things are settling down, they will need to adapt — adjusting how they approach their billing to stay flexible and on top of shifts that impact their groups and practices.
Never Outsource Medical Billing? Here’s the Real Answer
Many experts will say that you should never outsource medical billing. In years past, they might have had a case. But healthcare has changed in amazing ways in the last few years.
Influenza Vaccine Payment Allowances For 2021-2022 Season
The Medicare Part B payment allowance limits for seasonal influenza (flu) vaccines are 95% of the Average Wholesale Price (AWP), except when the vaccine is given in a hospital outpatient department, rural health clinic (RHC) or federally qualified health center (FQHC). Payment is based on reasonable cost for these 3 places.
CMS To Reprocess Certain Claims For Outpatient Clinic Visit Services
By November 1, 2021, the U.S. Centers for Medicare & Medicaid Services (CMS) will begin reprocessing claims for outpatient clinic visit services provided at excepted off-campus Provider-Based Departments (PBDs) so they’re paid at the same rate as non-excepted off-campus PBDs for those services under the Medicare Physician Fee Schedule (PFS).
