Capture Modest but Meaningful Revenue with CPT 98966 In today’s healthcare environment, practices can’t afford to overlook billable services, especially those that recognize the everyday work your non-physician providers are already doing. One such opportunity is CPT...
Telehealth Waivers Set to Expire Sept. 30, 2025. Is Your Practice Ready? The countdown is on: Medicare’s current telehealth waivers are scheduled to end on September 30, 2025. Unless Congress takes additional action, physicians and practices will see a significant...
Cigna & Aetna 2025 E/M Downcoding Policy: What Practices Need to Know Beginning October 1, 2025, both Cigna and Aetna are launching new Evaluation & Management (E/M) reimbursement policies that could directly reduce payment for higher-level visits. These...
Prior Authorization and Pre-Claim Review: What ASC Providers Need to Know Medicare’s Prior Authorization Demonstration for Certain Ambulatory Surgical Center (ASC) Services is part of CMS’s broader effort to crush fraud and protect the Medicare Trust Fund. Providers...
Capture New Revenue with G2211: Applies to All Specialties, the Chance to Capture an Extra $90K in Revenue Starting January 1, 2024, CMS activated a powerful new billing tool: HCPCS add-on code G2211. For physician practices, this represents both a way to capture work...
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