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:...
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...
Fraud is evolving faster than traditional controls. Schemes are more coordinated and documentation is more engineered. Billing patterns are designed to survive first-pass reviews. And many organizations are still reacting after payment. If you lead SIU, compliance,...
Hospice is designed to provide comfort and supportive care to terminally ill patients with a prognosis of six months or less. However, the high per diem payment structure makes it a significant target for sophisticated fraud schemes. Improper billing for hospice...
