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Medical billing, coding, denials, credentialing, PCMH and practice operations, written to be useful on Monday morning.
The CPT 2024 Code Set Is Out: 349 Changes and What to Plan Before January 1
The AMA has released CPT 2024, with 230 new codes, 49 deletions and 70 revisions, including new RSV immunization codes and caregiver training services. Here is how to turn a code book release into a practice-level plan for the January 1 changeover, without waiting for the December scramble.
ICD-10-CM April 2023 Update: 42 New Codes for Social Needs and Financial Abuse
The April 1, 2023 ICD-10-CM update added 42 diagnosis codes, mostly for health-related social needs and for financial abuse, and deleted seven. Here is what was added, why the Z codes matter more than they pay, and the four systems to update before claims start rejecting.
Modifier 25: When the Office Visit Is Separately Billable and When It Is Not
Modifier 25 is the most used and most audited modifier in office-based medicine. Here is the test we apply, five worked examples, the denial codes it produces when it is wrong, and how to build a quarterly self-audit before a payer does it for you.
Five Weeks Into the 2023 E/M Changes: Hospital, Observation and Prolonged Codes
The 2023 CPT revisions took effect January 1 and the first denials for deleted observation and prolonged service codes are now arriving. Here is what changed, the time thresholds to keep on the wall, and the template fixes we are asking practices to make this month.
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