2024 articles

Beginning with dates of service September 1, 2024, UHC will begin to bundle G2211 and deny separate reimbursement. The provider announcement from UHC is linked below. https://www.uhcprovider.com/content/dam/provid...

Are you aware of the changes coming for providers of Home Health Services for United Healthcare patients? The link to the revised policy is below. https://www.uhcprovider.com/content/dam/provider/docs/public/polic...

Are you aware of the changes coming to the management of your diabetic patients? Medicare has implemented changes effective October 7, 2024. The final rule is linked below. https://www.cms.gov/files/document/mm13...

The Centers for Medicare and Medicaid Services (CMS) has updated the online look-up tool to include physician updates for multiple years. Here is the link: https://www.cms.gov/medicare/physician-fee-schedule/search ...

As of 1/01/2025, modifier TB will be required by Medicare for providers who bill separately Part B drugs and participate in the 340B Drug Pricing Program. Additional information can be found in the MLN Fact Sheet linked below. MLN4800856...

Have questions on what your patient's mental health benefits through Medicare are? Check out this MLN titled Medicare and Mental Health Coverage. MLN 1986542 ...

As of January 1, 2024 Marriage and Family Therapists and Mental Health Counselors are eligible to bill Medicare for services rendered. CMS has published an article answering some frequently asked questions. Here is the link to the article: ...

The attached article from CMS explains the changes coming July 1, 2024 regarding Medicare Overpayments. https://www.cms.gov/files/document/mm11808-limitation-recoupment-medicare-overpayments.pdf ...

Do you know the ins and outs of billing this new HCPCS code? Check out this article from CMS for details: https://www.cms.gov/files/document/mm13473-how-use-office-and-outpatient-evaluation-and-management-visit-complexity-add-cod...

Looking for COVID-19 vaccine billing information post the Public Health Emergency (PHE)? Here is the latest from CMS: https://www.cms.gov/medicare/payment/covid-19/medicare-covid-19-vaccine-shot-payment#Home The information can an...

The Centers for Medicare and Medicaid Services (CMS) has created 2 new provider types and associated taxonomy codes as of January 1, 2024. They include: Marriage & Family Therapist Taxonomy - 106H00000X Mental Health Cou...

Medicare has published a summary of the changes forthcoming for CY2024. They have made changes to: Telehealth services E/M visits Behavioral health services Dental and oral health services Therapy services Diabetes self-manage...

Each year, the American Medical Association (AMA) releases new and revised codes that reflect what is happening in medicine and in response to feedback received from medical providers. New technology, new viruses/illnesses, and new ...

The Centers for Medicare and Medicaid Services (CMS) released the final rule on the CY 2024 physician fee schedule on November 2, 2023. Details are included in the article linked below. https://www.cms.gov/newsroom/fact-sheets/ca...

CMS (Centers for Medicare & Medicaid Services) has recently released deductible, coinsurance, and premium rates for CY 2024. Here are the highlights: Part A Part A Deductible - $1,632.00 Part A Coinsurance - $408.00 per day for...

Does your office provide home health services to Medicare patients? Medicare has recently released its MLN Matters newsletter highlighting changes coming January 1, 2024. A link to the newsletter is below. Medicare Home Health PPS ...

Did you know that the amount in controversy to obtain an administrative law judge (ALJ) hearing and/or a judicial review in federal district court is changing effective January 1, 2024? Beginning January 1, 2024, the thresholds will be: ...