Codes G2211 and GIDXX – Continued Uncertainty

Published: Fri, 08/23/24

Updated: Fri, 08/23/24

Link to all things medical coding & billing

Codes G2211 and GIDXX – Continued Uncertainty

If you have been listening to the discussions on Monitor Monday and Talk Ten Tuesday about the use of the new HCPCS code G2211, you know there remains some uncertainty on its use. Several weeks ago, the Centers for Medicare & Medicaid Services (CMS) stated that they would be releasing a FAQ document the next week. Well, that period came...

Leveraging Generative and Advanced AI to Transform Coding and CDI – Part 1

In recent years, generative artificial intelligence (GenAI) has passed medical exams, diagnosed complex cases, and even come up with ways to combat a pandemic. In fact, large language models (LLMs) such as GPT-4, Google’s BARD, and BioGPT now perform complex tasks that can completely transform clinical...

Proposed new Medicare billing codes could boost digital mental health treatment

The proposed new Medicare billing codes in the proposed Physician Fee Schedule (PFS) for 2025 include three specific codes for digital mental health treatment (DMHT) relating to professional services involving DMHT devices. This is the first time CMS has proposed Medicare reimbursable codes specific to digital therapeutic products through the physician...

Understanding the Perils of the 60-Day Refund Rule

The 60-day Refund Rule, created by the 2010 Patient Protection and Affordable Care Act (PPACA), requires providers to report and return Medicare and Medicaid overpayments within 60 days of identifying them. Failure to comply with the 60-day Refund Rule can result in the imposition of a civil monetary penalty under 42 C.F.R. §1003.210(a)(8), with a maximum...

2024 Coding Clinic 2nd Quarter: COPD and Z79

COPD is an overarching term for conditions which cause difficulty breathing, specifically from some type of impediment to air movement. The two main types are emphysema and chronic bronchitis. Both types can be present in the same patient. The most common etiology is tobacco exposure. It is a chronic, irreversible condition, although steps can be taken...

A 'TsunamAI' Of Change Is Coming To Healthcare

In the last 50 years, there have been significant developments that have forever improved the delivery of healthcare. Consider imaging (MRI/CT scans), minimally invasive surgery, anti-viral therapies, precision medicine (e.g., CRISPR and gene editing) and near or complete eradication of diseases like polio and smallpox. As we look back 50 years from...

P.O. Box 3824
Youngstown OH 44513
USA

Unsubscribe | Change Subscriber Options