AMA Publishes Clarifications to Evaluation and Management Guidelines
On March 9, 2021, the American Medical Association’s (AMA) CPT Editorial Panel issued clarifications on several factors associated with the 2021 E/M Guidelines.
Read MoreAuthor: Mario Fucinari DC, CCSP, APMP, MCS-P, CPCO
2021 E/M Guidelines Take Effect
Since the initial evaluation and management (E/M) guidelines were released in 1995, and again in 1997, there has been controversy. The American Medical Association and the Centers for Medicare and Medicaid Services have joined together to arrive at a consensus that will reshape evaluation and management (E/M) guidelines. The changes in evaluation and management guidelines for 2021 only apply to office or outpatient codes 99202 – 99215.
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Medicare Announces Part B Deductible for 2021
Recent legislation signed by President Trump significantly dampened the 2021 Medicare Part B premium increase that would have occurred, given the estimated growth in Medicare spending next year. The standard monthly premium for Medicare Part B enrollees will be $148.50 in 2021, an increase of $3.90 from $144.60 in 2020. CMS also announced that the annual deductible for Medicare Part B beneficiaries is increasing.
Read MoreNew ICD-10 Codes for 2021
We’ve been getting questions recently regarding ICD-10 code changes and when they go into effect. In this week’s video, we address these questions and more. Watch the video to learn more!
Read MoreConfused by Modifier Denials? Maybe 97 is Needed?
Are you confused by modifier denials? Are you having challenges with insurance carriers rejecting claims even though they appear to be coded correctly? Maybe you need the 97 code. Watch the video to learn more!
Read MoreABN Refresher and the New 2021 ABN Form
This week we talk with Dr. Mario Fucinari to cover some changes with Medicare, and clear up some misconceptions with the New 2021 Medicare ABN Form. Watch the video to learn more!
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NEW Mandatory ABN Form to Take Effect January 1, 2021
The new Medicare ABN form was released a few weeks ago, and all providers are required to begin using the new form by August 31, 2020. This article covers how to download the new form, the small changes made in the instructions, and what they mean to you and your patients.
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The Episode of Care
The claim form is used to obtain payment. Carriers and other third parties will use the information on the claim form to gain information about the case.
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