The 2025 Medicare Physician Fee Schedule (PFS) introduces several key updates that impact payment policies, rates, and quality provisions: Payment Rates: There are refinements to codes for services addressing social determinants of health, with a focus on expanding the use of billing codes for social risk assessments and care coordination. Complexity add-on payments for … [Read more...] about Physician Fee Schedule Updates for 2025 hit Telehealth, Payment Policies, Rates and Quality
Coding
CODING ALERT: Watch for ICD-10-CM and CPT Changes for 2025
For 2025, medical coding changes in ICD-10-CM and CPT codes are set to reflect more precise diagnostic details and updated guidelines across various medical conditions. Some of the key updates include: Mental Health: New ICD-10-CM codes will expand the classification of eating disorders, differentiating severity levels (mild, moderate, severe) and adding specific … [Read more...] about CODING ALERT: Watch for ICD-10-CM and CPT Changes for 2025
9 things to know about billing software
The large majority of medical offices use billing software. If you haven't made the leap to billing software yet, or if you are shopping for a new software vendor, here are things to know. With billing software, you can automate the entire billing process, from sending out invoices to processing payments. This can save you a lot of time and reduce the risk of errors. This … [Read more...] about 9 things to know about billing software
21 easy ways to boost practice profitability fast
Simple changes to billing procedures, hiring policies, purchasing, patient relations, and other daily activities can have a positive impact on your practice's bottom line. Here are 21 ways you can quickly boost practice profitability. 1. Name a reimbursement coordinator To get all the reimbursement possible, hire or appoint someone to be a reimbursement coordinator. It … [Read more...] about 21 easy ways to boost practice profitability fast
Best practices for managing medical billing and coding
Managing medical billing and coding can be quite the juggling act, but getting it right is crucial for the financial health of your practice and ensuring everything runs smoothly. Here are some best practices to help you streamline your billing and coding processes, complete with examples to show how it all works. First off, hire and train the right staff. … [Read more...] about Best practices for managing medical billing and coding
Mastering Modern MedTech: Essential tech skills for every medical office manager
To stay ahead and keep your practice running smoothly, it's crucial to develop a robust set of technology proficiencies. From Electronic Health Records (EHR) systems to cybersecurity practices, mastering these tools not only enhances operational efficiency but also ensures compliance, improves patient care, and supports the overall success of your practice. Dive into the … [Read more...] about Mastering Modern MedTech: Essential tech skills for every medical office manager
5 tested ways to make your billing and coding more profitable
The health of your medical practice depends on good quality coding and billing work. One of the most important roles in the medical office that impacts compliance—and your bottom line—is the coding and billing function. "Coding and billing is the lifeblood of the practice; it's the income," says Michael J. Sacopulos, JD, founder and president of Medical Risk … [Read more...] about 5 tested ways to make your billing and coding more profitable
Strategies to stay on top of insurance denials and appeals
Denials from insurance companies can be frustrating and costly for both your practice and patients. However, a well-organized approach to handling denials and appeals can significantly impact your revenue and patient satisfaction. In this article, we will provide you with valuable advice on managing denials and appeals effectively. Understanding Denials Before delving into … [Read more...] about Strategies to stay on top of insurance denials and appeals
Be smart about scheduling to retain hourly employees
Staff scheduling can significantly impact the success of your practice. While scheduling may seem like a routine administrative task, its importance in retaining your valuable hourly employees cannot be overstated. A well-designed and thoughtful scheduling system can lead to increased job satisfaction, higher productivity, and improved staff retention rates. . Depending on the … [Read more...] about Be smart about scheduling to retain hourly employees
CPT update for COVID-19 boosters adapted to omicron
The American Medical Association has announced an update to Current Procedural Terminology (CPT)®, that includes eight new codes for the bivalent COVID-19 vaccine booster doses from Moderna and Pfizer-BioNTech. The updated boosters are adapted for the BA.4 and BA.5 Omicron subvariants and the original coronavirus strain in a single dose. Four of the eight CPT codes (91312, … [Read more...] about CPT update for COVID-19 boosters adapted to omicron