Articles related to CODING & REIMBURSEMENT

Although surgical retina procedures may use similar techniques, the CPT code that accurately reflects the surgery performed is often best identified by the diagnosis that led to the surgery.

Providers nationwide are experiencing an uptick in health plans denying payments by improperly asserting that providers are not coding their claims correctly.

Medicare reimbursement for RPM remains lowest in rural areas where chronic disease prevalence exceeds national averages and provider access presents significant challenges.

“Congressional action is required to prevent the severe limitations on telehealth that existed before the COVID-19 pandemic from being restored,” said American Medical Association president Bruce A. Scott, MD.

The expansion of telemedicine coding options signals a significant shift in healthcare delivery documentation, with 17 new codes specifically designed to capture the nuances of virtual care delivery.

UnitedHealthcare’s decision to bundle G2211 into E/M payments for commercial plans signifies a shift in reimbursement strategies that oncologists need to address promptly.