Finally: CMS releases 2021 final rule; no major surprises seen

  December 15, 2020 | By By Grant Huang, CPC, CPMA At long last, CMS has published its Medicare Physician Fee Schedule (PFS) final rule, and while some of the provisions will be widely felt across many specialties, there are no major or unexpected deviations from the proposed rule. The agency typically releases the PFS…

Insurance Coverage for COVID-19 Testing

  November 13, 2020 | By Bryan Meek, Esq., Brennan, Manna, and Diamond As the COVID-19 pandemic continues to wreak havoc globally, routine COVID-19 testing of employees, patients, and the general population have become more common. However, issues regarding coverage for this testing are starting to emerge. In recent weeks, major payers and insurers have…

Focus Providers on Clinically Relevant History and Exam, and Concise Medical Decision Making

  October 16, 2020 | By Scott Kraft, CPMA, CPC It’s fair to say the 2021 changes to the E/M documentation guidelines ease the documentation burden on the rendering provider for certain aspects of the note. These welcome changes give more heft to the clinical relevance of the patient’s case and the provider’s treatment, rather…

Telehealth Exam Documentation

June 5, 2020 | By Scott Kraft, CPMA, CPC During the rapid pivot to telehealth services during the COVID-19 pandemic, one of the biggest priorities has been staying on top of the array of CMS and private payer rules to ensure these services were payable. These rules included the clear need in most instances for…