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…
November 29, 2024 | By Terry A. Fletcher, BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, ACS-CA, SCP-CA, QMGC, QMCRC, QMPM, PACS Telehealth 2025: The Final Rule CMS issued the calendar year (CY) 2025 Medicare Physician Fee Schedule (MPFS) final rule on Nov. 1, 2024, publishing guidance that will have providers and coders scratching…
April 26, 2024 | Sean M. Weiss, CHC, CEMA, CMCO, CPMA, CPC-P, CMPE, CPC The perennial inquiry into the scope of services that nurses and ancillary support staff may offer under physician supervision remains a frequent topic of discussion. Furthermore, I frequently encounter situations where the concept of “incident-to” care is central to the controversy.…
Updated 02-09-2024 | By: Terry A. Fletcher BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, ACS-CA, SCP-CA, QMGC, QMCRC, QMPM As we all know the PHE, public health emergency, ended on May 11th, 2023, but the confusion on how to report Telehealth services continues to live on. When Medicare published their Final Rule last November…
January 12, 2024 | Kimberly Jolivette Williams, CPC, CPB, CPMA, CPC-I, CANPC, CCC, CEMC Navigating the Importance of the Diagnosis in the Audit Landscape: In our complex and evolving healthcare business landscape, where financial integrity and regulatory compliance are paramount, medical audits stand as a critical tool for safeguarding the fiscal health of medical practices and…
January 19, 2024 | Terry A. Fletcher BS, CPC, CCC, CEMC, CCS, CCS-P, CMC, CMSCS, ACS-CA, SCP-CA, QMGC, QMCRC, QMPM As we all know, the PHE, public health emergency, ended on May 11th, but the confusion on how to report Telehealth services continues to live on. When Medicare published its Final Rule last November 2nd,…
December 8, 2023 | By Shannon O. DeConda The healthcare landscape is constantly evolving, and with dwindling reimbursement models, it is crucial to embrace innovative solutions for new healthcare delivery models to provide efficient and accessible services for patients. As we enter 2024, telehealth integration into medical practices has become necessary rather than convenient. As…
August 4, 2023 | By Bryan Meek, Esq., Brennan, Manna, and Diamond OVERVIEW: As telehealth has become more prominent across the country, providers have had the opportunity to practice across state lines more easily. However, most states require that providers be licensed in their state to provide care to residents in their state. Thus,…