For years, HCPCS code G2025 has served as a one-size-fits-all code for non-behavioral health, distant-site telehealth services furnished by Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs). That all changes for RHCs and FQHCs billing Medicare...
A major maternity coding change is due January 1, 2027—and it is much more than a routine annual update. The American Medical Association (AMA) is deleting the traditional global obstetric CPT structure and moving to separate reporting for four phases of care:...
Telehealth billing remains complex as payer requirements continue to vary across procedure codes, modifiers, and places of service. Medicare, Medicaid, and commercial plans may apply different billing expectations, creating risk when providers use a uniform approach...
Risk adjustment involves billing diagnosis information that is properly supported in the medical record. It estimates the expected annual cost of care and aligns payments to the complexity of a patient’s conditions. Because payments rise with diagnosis severity, an...
With the Lymphedema Treatment Act from 2024 now in effect, payer coverage for lymphedema treatment has expanded. While this is a positive development for patients, it also increases the risk of inadvertent billing errors and potentially inappropriate billing...
When it comes to healing, sometimes our skin needs a little more than a kiss it and make it better approach. Complex, non-healing, or chronic wounds require clinical interventions to jump start the body’s natural healing process. These specialized procedures are...
