By Lisa Eramo bio There is a whole slew of new and revised CPT codes—329 changes to be exact—effective since Jan. 1. This includes 206 new codes, 54 deletions, and 69 revisions. Interestingly, the majority of changes pertaining to new technology and devices, giving medical practices the opportunity to provide high-quality patient care while also receiving reimbursement. This … [Read more...] about New devices, technology dominate 2021 CPT code changes
Coding
Impact of reimbursement and compliance to WRVU-based compensation
By John McDaniel bio All physician contracts including any form of WRVU based compensation may need to be reviewed and probably amended because of the increase in WRVUʹs (work relative value units) associated with E&M CPT codes effective Jan. 1, 2021. This has been necessitated by CMS whereby the final decision involved eliminating CPT Code 99201 and leaving CPT Code … [Read more...] about Impact of reimbursement and compliance to WRVU-based compensation
Impact of 2021 evaluation and management coding changes to WRVU based physician compensation
By John McDaniel bio As you may know, all physician contracts which include any form of WRVU based compensation will need to be reviewed and probably amended due to the increase in WRVUs (work relative value units) associated with E&M CPT codes effective Jan. 1, 2021. We recently conducted an assessment for one of our hospital clients which showed the ʺunintended … [Read more...] about Impact of 2021 evaluation and management coding changes to WRVU based physician compensation
Here’s how to represent telehealth encounters in QRDA I Format for eCQMs
The Centers for Medicare & Medicaid Services (CMS) has posted additional guidance for using the Quality Reporting Document Architecture I (QRDA I) format to represent telehealth encounters for the Eligible Professional and Eligible Clinician electronic clinical quality measures (eCQMs) used in CMS quality reporting programs for the 2020 and 2021 performance periods. There … [Read more...] about Here’s how to represent telehealth encounters in QRDA I Format for eCQMs
Physicians should consider these overlooked codes
By Lisa Eramo bio It’s a common complaint heard among primary care physicians: Evaluation and management (E/M) codes don’t adequately capture the time, skill, and resources necessary to plan and coordinate care for patients with complex medical needs. Although new, streamlined E/M guidelines for 2021 may help, several existing remedies can enable physicians to capture … [Read more...] about Physicians should consider these overlooked codes
AMA puts out telemedicine guide
The American Medical Association (AMA) has compiled a guide to help physicians get telemedicine up and running so they can safely care for patients. The telemedicine quick guide outlines the first steps to get started and lays out key considerations to implementing telemedicine and explains policy, coding and payment. Even if your practice didn’t use telemedicine before, it … [Read more...] about AMA puts out telemedicine guide
Public health emergency jumpstarts remote care
From video chats to relaxation of state licensing requirements, the coronavirus pandemic has accelerated the adoption of remote and virtual healthcare services. Here is an update from CMS: Medicare Telehealth Visits: Effective for services starting March 6, 2020, and for the duration of the COVID-19 Public Health Emergency (PHE), Medicare will make payments for Medicare … [Read more...] about Public health emergency jumpstarts remote care
What you need to consider before getting started in telemedicine
By Nick Hernandez bio Many practices are hearing about telemedicine and becoming increasingly interested in how such a program could be implemented in their operations. Physicians want to start a telemedicine program quickly. Practice managers don't want to learn by trial and error. The biggest issue I see by far is that practices immediately focus on the technology. … [Read more...] about What you need to consider before getting started in telemedicine
Do you have the ‘right stuff’ to be a successful medical office manager?
As the office manager of a medical practice, you have an opportunity to learn, grow, and make a valuable contribution. "You really get the chance to be a part of a small business and to wear a lot of different hats," says Mary Pat Whaley, co-founder and president of Manage My Practice, a medical practice consulting firm. What's more, because most physicians are not business … [Read more...] about Do you have the ‘right stuff’ to be a successful medical office manager?
Use weekly meetings with doctors to keep office running smoothly
Meeting every week with the doctors makes a tremendous difference in how smoothly – and also how successfully – an office operates, says the manager of a pediatrics practice in Colorado. For her office, it's an 8 a.m. meeting every Monday, a good time, because it sets the tone for the week. It also keeps everybody on the same page. And it ensures that the doctors know all the … [Read more...] about Use weekly meetings with doctors to keep office running smoothly