PMB Blog

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…

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…