As payers like Aetna, ANthem, Cigna, Humana, UHC, SelectHealth, Blue Cross/Blue Shield embrace telehealth and establish their own programs, major healthcare networks are also reaping benefits from the exploding technology. Large networks like Kaiser Pemanente, Geisinger, Cleveland Clinic, and UPMC Health Plan are incorporating telehealth not only for outpatients but for inpatients. In an article ...
The medical decision-making (MDM) component of evaluation and management (E/M) services is perhaps the most crucial element in determining the correct level of service assignment for patient encounters. The majority of individuals involved in the E/M coding process may not agree on the interpretation of the components, but would agree that the clinical thought process ...
The U.S. Preventive Services Task Force (USPSTF) has released a new recommendation for obesity screening in children and adolescents. The USPSTF recommends that clinicians screen for obesity in children and adolescents 6 years and older, and offer or refer overweight individuals to comprehensive, intensive behavioral interventions to promote improvements in weight status. This recommendation is bas...
In CMS
Jul 14th, 2017
Among the many provisions detailed within the 2018 Physician Fee Schedule Proposed Rule, released July 13, the Centers for Medicare & Medicaid Services (CMS) acknowledges that the current evaluation and management documentation guidelines create an administrative burden and increased audit risk for providers: Stakeholders have long maintained that both the 1995 and 1997 guidelines are ...
In Coding
Jul 13th, 2017
The American Medical Association (AMA) recently posted a short list of new and revised vaccine codes on their website. These codes are effective July 1, 2017, and will appear in the CPT® 2018 codebook: 90587 Dengue vaccine, quadrivalent, live, 3 dose schedule, for subcutaneous use This is a new code, pending FDA approval. 90620 Meningococcal recombinant ...