The world of medical billing and coding is undergoing significant changes in 2024, impacting healthcare providers, coders, and patients alike. These updates, primarily focusing on the Current Procedural Terminology (CPT) and the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code sets, are crucial for ensuring accurate documentation, billing, and overall healthcare management. Key […]
The landscape of Medicare, particularly concerning Medicare Advantage (MA) and Part D programs, has undergone significant changes with the finalization of new rules by the Centers for Medicare & Medicaid Services (CMS) for 2024. These changes aim to streamline processes, enhance access to care, and safeguard beneficiaries against misleading marketing practices, ultimately reflecting a significant […]
Cigna’s modifier 25 policy has sparked widespread concern among the American Medical Association (AMA) and over 100 other healthcare organizations. This policy, requiring the submission of office notes alongside certain claims, is seen as an unnecessary and burdensome process that could lead to delays in patient care. The AMA and other groups have vehemently requested […]
Discover the future of home health care compliance and efficiency through the latest advancements in Electronic Visit Verification (EVV). As the 21st Century Cures Act’s deadline approaches, read how state-of-the-art EVV solutions are here to ensure your agency meets the requirements seamlessly. Dive into the details of EVV readiness for your state and embrace the transition with confidence.
Reminder: As of July 2023, Home Health Agencies must adopt new G-codes for telehealth services. This crucial update mandates detailed reporting for synchronous telemedicine, audio-only consultations, and remote patient monitoring. Ensure your agency is prepared for these changes to maintain compliance and optimize billing processes.
Starting January 1, 2024, Home Health Agencies (HHAs) must follow new billing procedures for disposable Negative Pressure Wound Therapy (NPWT) devices. These will now be billed and paid separately under the period of care claims, Type of Bill 032x. It’s crucial for billing staff to note the application of deductibles and coinsurance, as well as the necessary coding changes. Stay updated to ensure compliance and efficient billing processes.
In an era where telehealth is becoming increasingly prevalent, a recent article from Physician’s Weekly titled “Rates of Loop Closure Are Below Satisfactory for Telehealth” sheds light on a critical challenge facing this mode of healthcare delivery. The study highlights a notable discrepancy in the completion rates of medical tests and referrals ordered during telehealth […]
The concept of ‘Hospital at Home’ is revolutionizing the healthcare industry. This model, as discussed in a compelling article from Healthcare Transformers, brings hospital-grade care to the patient’s doorstep. It’s not just about convenience; it’s a paradigm shift in healthcare delivery. Key Highlights: This innovative approach signifies a major advancement towards more accessible, efficient, and […]
EVV Vendor Transition Overview Effective October 1, 2023, Texas Health and Human Services Commission (HHSC) is transitioning from two Electronic Visit Verification (EVV) vendor systems, DataLogic/Vesta and First Data/AuthentiCare, to a new single state-funded EVV vendor system provided by HHAeXchange. An overview related to this transition is listed below. HHSC will continue providing details and […]
Precision Medical Billing understands that knowledge is power in the ever-evolving healthcare landscape. At the recent Fall Conference organized by the Texas Association for Home Care & Hospice, we gained in-depth insights into the 2024 Proposed Rule for Home Health and Hospice that we are eager to share with our partners. Comprehensive Financial Shifts In […]