Finally, some good news! Evaluation and Management changes for 2021 include something many of our clients have struggled with for a long time. Time! Starting January 1, 2021, providers may now use the amount of time spent with a patient as a guide to selecting the appropriate E/M code. The inclusion of time in the definitions of levels of E/M services has been implicit in prior editions of the CPT codebook. The inclusion of time as an explicit factor beginning in CPT 1992 i

Sometimes it is not clear what date to use when billing a service. The service might be performed over the course of more than one day, or may be provided without a face-to-face encounter. Medicare has recently reiterated which dates are appropriate to use when billing these service exceptions. Radiology Services Typically, radiology services have two separate components: a professional and technical component. These services will have a PC/TC indicator of “1” on the Medicare

UnitedHealthCare recently released new reimbursement policy updates that affect Acupuncture procedures. Here's what you need to know in order to properly submit a claim and get paid. The new policy updates are being enforced to the code descriptions for Acupuncture services that are reported based on a 15 minute time increments of face to face contact with the patient. These time increments are not the duration of needle placement just the face to face contact with the patien

Anthem has recently update some of its reimbursement policies, these new updates will either apply to professionals or facilities. Below you will find explanations of each new update and which category it falls under. For more detailed information visit the respective sections on Anthems website. Bundled Services and Supplies and Modifiers 59, XE, XP, XS and XU -Professional Technology used to assist in the performance of a procedure is part of the surgical procedure. Startin