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Insights & Education

Diagnosis Coding for Neoplasms

By Mycah Faison / March 6, 2024

The accurate classification and documentation of diseases are key, especially in the case of neoplasms. The importance of precise diagnosis coding cannot be overstated. With advancements in medical knowledge and technology, understanding the intricacies is crucial for healthcare professionals striving to provide optimal care for their patients.

2024 Evaluation & Management Updates

By Natalie Sartori / February 23, 2024

As we step into 2024, the landscape of healthcare continues to evolve, with Medicare introducing significant updates in evaluation and management (E/M) coding. Among the most notable changes is the introduction of new care management codes, promising to streamline and enhance the delivery of patient care for Medicare beneficiaries.

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2024 CPT Update Guide

By Natalie Sartori / January 10, 2024

2024 brings significant CPT code revisions. This guide will identify important guidelines & parenthetical note additions & revisions. We’ll review anatomy & other pertinent clinical information important to understanding the new CPT codes. Important note – due to significant code changes & guideline revisions, a module published in January will provide a more thorough &… Read More »2024 CPT Update Guide

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2024 NCCI Policy Manual for Medicare Services

By Marcy Blitch / January 9, 2024

CMS updates the NCCI  Policy Manual for Medicare Services once a year. This is a general reference tool that the Medicare Administrative Contractors (MACs) use to explain the rationale for NCCI edits. The most current policy manual is effective January 1, 2024. Note additions and revisions are noted in red font. CPT and HCPCS code… Read More »2024 NCCI Policy Manual for Medicare Services

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2024 CPT Blog: Part 3

By Natalie Sartori / January 5, 2024

2024 CPT TRFA Updates We continue our deep dive into the 2024 CPT changes this week with updates to the codes for Transcervical Radiofrequency Ablation of Uterine Fibroids (TRFA). Category III code 0404T Transcervical uterine fibroid(s) ablation with ultrasound guidance, RF has been deleted and a new Category I code 58580 has been created for… Read More »2024 CPT Blog: Part 3

Coding Tip SDOH

Social Determinants of Health

By Marcy Blitch / January 2, 2024

Social determinants of health (SDOH) are the non-medical factors that influence health outcomes. Providers can receive additional reimbursement when they document and address those SDOH that impact a patient’s treatment. CMS finalized coverage of HCPCS code G0136 (administration of a standardized, evidence-based SDOH risk assessment tool, 5-15 minutes) beginning January 1, 2024, In order to report G0136… Read More »Social Determinants of Health

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2024 CPT Blog: Part 2

By Natalie Sartori / December 18, 2023

2024 CPT VBT Updates We continue our deep dive into the 2024 CPT changes this week with a focus on the new established Category I codes and impacted Category III codes for Anterior Thoracic Vertebral Body Tethering (VBT) due to increased adoption and utilization. VBT is used to correct scoliosis without spinal fusion using a… Read More »2024 CPT Blog: Part 2

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2024 CPT Blog: Part 1

By Natalie Sartori / December 12, 2023

2024 E/M Time Revisions The goal of this blog series is to investigate further the changes to CPT in 2024. We’ll begin with E/M time revisions. The Evaluation & Management section saw major changes for office visits in 2021 including assigned “time ranges for E/M codes 99202 – 99205 and 99212 – 99215. In 2023… Read More »2024 CPT Blog: Part 1

HCC Blog – Part 4

By Kathryn DeVault / December 5, 2023

Continued discussion surrounding the RA/HCC V28 changes. This week we’re going to re-visit a few of the RAF/HCC perceptions to alleviate possible confusion.  Recently, I had a few conversations about RAF/HCCs that leads me to believe there is some misunderstanding about the overall concept of this prospective payment system.  There are two models for HCC… Read More »HCC Blog – Part 4

CPT 2024 Changes – Here we come!

By Marcy Blitch / December 4, 2023

Here is our cheat sheet for changes you can expect to CPT in 2024. Overview: Here is a quick summary of some of the more significant changes. Evaluation & Management Surgery: Musculoskeletal Surgery: Respiratory System Surgery: Cardiovascular System Surgery: Urinary System Surgery: Female Genital System Surgery: Nervous System Surgery: Eye & Ocular Adnexa Radiology Pathology… Read More »CPT 2024 Changes – Here we come!