Split-Shared Billing Challenges in Critical Care Service Written by: Shannon O. DeConda, CPC, CPMA, CEMC, CEMA, CPA-EDU, CRTT Effective collaboration between healthcare providers is vital in the fast-paced environment of Intensive Care Units (ICUs). Split shared services—where a physician (MD) and an Advanced Practice Registered Nurse (APRN) or Physician Assistant (PA) jointly manage patient care—are…
Ensuring Compliance with Medicare’s Pain Management G Code Written by: Shannon O. DeConda, CPC, CPMA, CEMC, CEMA, CPA-EDU, CRTT Medicare has been actively enhancing care management services to better support patients with chronic conditions. According to the U.S. Pain Foundation, over 50 million people in the United States are affected by chronic pain, so the…
Understanding the difference between Locums Tenens and Reciprocal Written by: Natasha Timberlake, BSHCM, CRCR, CPC, COC, CPMA, CHONC, CPC-I, CEMA One of the most complex parts of writing an article is deciding where to begin, especially when dealing with a subject or specialty in which we have less experience. However, the best part of writing…
First published on TerryFletcher.netThis is a revision by the same author:Terry Fletcher CPC, CCC, CEMC, CCS, CCS-P, CMS, CMSCS, ACS-CA, SCP-CA, QMGC, QMCRC, QMPM, PACS We have been receiving many inquiries and emails regarding the billing of Audio Only Telehealth for Medicare and Commercially Insured patients starting January 1st, 2025. The published guidance is…
The Cautionary Tale of CMS’s New Policies for Global Surgery Payment Accuracy January 10, 2025 | Shannon O. DeConda, CPC, CPMC, CEMC, CEMA, CPA-EDU, CRTT, CPA-R The Centers for Medicare & Medicaid Services (CMS) continues to refine policies to address the evolving needs of the healthcare system, with an eye on accuracy and fairness…