Nursing Visits in the Office: Navigating Risks and Staying Compliant

Nursing Visits in the Office: Navigating Risks and Staying Compliant Written by: Sonda Kunzi Let’s talk about nursing visits. If you have worked in a medical office, you’ve likely heard this term used to describe brief patient encounters with a medical assistant, nurse, or other clinical staff. Things like blood pressure checks, vaccine administration, suture…

Split-Shared Billing Challenges in Critical Care Service

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

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…

The Cautionary Tale of CMS’s New Policies for Global Surgery Payment Accuracy

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…