Medicare pays for some screening services for its beneficiaries, using HCPCS codes. These screening codes are time-based HCPCS codes with … [Read more...]
Behavioral Health Integration and CCM codes, 2018
This post has been updated to reflect changes in CPT and HCPCS codes for 2018. The original post from December 2016 was titled "New G codes 2017 | … [Read more...]
Intensive behavioral counseling for cardiovascular disease, HCPCS code G0446
Medicare pays a primary care physician or other primary care practitioner in a primary care setting to annually provide one face-to-face behavioral … [Read more...]
Other new proposals in the 2019 Proposed Physician Fee Schedule Rule
This is the second CodingIntel post about CMS proposed changes to the 2019 Physician Fee Schedule rule. If you missed it, be sure to read the first … [Read more...]
CMS Proposed Changes in the 2019 Physician Fee Schedule Rule | Webinar
Recorded August 16, 2018 Some Fee Schedule rules are almost boring, but not this year! CMS is proposing significant changes to the payment … [Read more...]
CMS proposes significant changes to E/M requirements
By now, you’ve read the headlines that CMS is proposing major changes to both the documentation requirements for new and established patient visits … [Read more...]
Screening for depression | HCPCS code G0444
Annual depression screening code G0444 Medicare pays primary care practices to screen all Medicare patients annually for depression. The service … [Read more...]
Behavioral counseling for obesity, HCPCS code G0447
Medicare pays for ongoing face-to-face behavioral counseling for patients with a BMI of ≥ 30, who are alert and able to participate in … [Read more...]
Prolonged services codes for Medicare preventive medicine services: G0513, G0514
The first chart I posted with this article had an error. Thanks to the sharp eyed member who found my error and pointed it out. We've posted the … [Read more...]
Coding changes for 2018 | Webinar
Recorded February 15, 2018 Listen in on this high level overview of new CPT and HCPCS codes for 2018! Every year, the AMA updates the CPT code … [Read more...]
G0101 Pelvic and Breast Exam
Medicare does not pay for routine physical exams annually for patients - a sore spot for gynecologists, primary care providers and Medicare … [Read more...]
Care Management for Behavioral Health Conditions
Care Management for Behavioral Health Conditions Overview CMS developed HCPCS G0507 code for care management performed by clinical staff for … [Read more...]
New modifier for telemedicine in 2017: modifier 95
An Overview of Telemedicine Modifier 95: The American Medical Association added a new modifier, symbol and Appendix to CPT in 2017; Modifier … [Read more...]
New Revenue Opportunities for Primary Care in 2017
2017 brings primary care new revenue opportunities when providing care coordination services, including non-face-to-face prolonged services. There are … [Read more...]
How Physician Services are Paid – Infographic
CPT Codes for Medical Reimbursement CPT codes, HCPCS, modifiers, global surgical packages, CMS formulas, diagnosis codes, location, and more...how do … [Read more...]
How Physician Services are Paid
Have a new staff member or physician who needs a primer on "how physician services are paid?" This short video is a must see! Learn how all the pieces … [Read more...]
High Intensity Behavioral Counseling to Prevent Sexually Transmitted Illnesses
CMS covers counseling to prevent STI in certain circumstances. The code is G0445. G0445 – Semiannual high intensity behavioral counseling to … [Read more...]