It was a happy day in 2020 the American Medical Association (AMA), the owner of the CPT® code set, announced a modification to the Evaluation and Management E&M coding guidelines for the office or outpatient visit code set (99201 – 99215) that became effective Jan. 1, 2021. Not only...

With the start of fiscal year (FY) 2023 right around the corner, this is a good time for clinical documentation integrity (CDI) professionals update their practices to reflect FY 2023 changes. I’m sure most of you have already downloaded FY 2023 ICD-10-CM/PCS and the Official Coding...

The Centers for Medicare and Medicaid Services has released the 2023 premiums, deductibles, and coinsurance amounts for fee-for-service Medicare Part A and Part B, and the 2023 Medicare Part D income-related monthly adjustment amounts.

When commenting on the Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System proposed rule for calendar year (CY) 2023, the American Hospital Association (AHA) supported the decision to end...

The American Medical Association (AMA) has released the Current Procedural Terminology (CPT) code set for 2023, which contains updates that aim to reduce medical coding burden for evaluation and management (E/M) visits...

Recently, I was working with a client to help them understand “incident to” billing. We were discussing a situation in which a physician and a physician assistant each saw the patient as part of a visit in the clinic.  The clinic administrator referred to it as a shared visit. I totally get...