Medicare Telehealth Coding as of April 30

Healthcare providers are granted even more latitude for use of telehealth services during the COVID-19 public health emergency. On a Friday, at month-end, the Centers for Medicare & Medicaid Services (CMS) kindly dropped another bomb on us: more t… For more, read here: AAPC Blog Related Posts:OIG Uncovers Medicare Overpayments for Chronic Care…New Medicare Cards Initiate Phishing ScamUsing Modifier 95 for Telehealth Makes CentsPrevent Medicare Claims Denials in 2020OIG to Audit Risk Adjustment CodingCMS Goes After Medicare Advantage Overpayments

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New Patient E/M Denials: Mystery Solved

New patient evaluation and management (E/M) claims are being denied when the patient was previously seen by a specialty physician assistant or specialty nurse practitioner on staff. This is happening when another provider of a different specialty in t… For more, read here: AAPC Blog Related Posts:Prevent Medicare Claims Denials in 2020MDM – New Problem to Examiner or Patient?

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MDM – New Problem to Examiner or Patient?

When calculating an evaluation and management (E/M) level or auditing an E/M service, every Medicare Administrative Contractor (MAC) has always had the points assigned for a new problem under the Number of Diagnoses or Treatment Options based on a new… For more, read here: AAPC Blog Related Posts:New Patient E/M Denials: Mystery Solved

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