New Articles

  1. Diabetes Screening Definition updates for Medicare coming October 2024.

    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...
  2. CMS 2024 Physician Fee Schedule Look up Tool

    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 ...
  3. Medicare Requirement as of 1/01/2025 - TB Modifier

    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...
  4. Medicare coverage for Mental Health

    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 ...
  5. Are you a marriage/family therapist or a mental health counselor billing Medicare?

    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: ...
  6. Limitation on Recoupment of Medicare Overpayments- effective July 1, 2024

    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 ...
  7. HCPCS Code G2211

    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...
  8. COVID Vaccine post PHE

    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...
  9. Provider Type and Taxonomy Codes added as of Jan 1, 2024

    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...
  10. Medicare Physician Fee Schedule Final Rule Summary CY2024

    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...