2024 CPT & ICD-10-CM Changes: Minimal FY updates, 395 new diagnoses, 153 CPT codes added, and a major shift in E/M coding with time ranges replaced. Explore the impact on healthcare practices.
On November 2nd, the Centers for Medicare and Medicaid Services released the CY 2024 Physician Fee Schedule Final Rule, impacting physician payment, featuring a 3.4% conversion factor reduction and diverse program changes.
Healthcare providers and their business associates who handle identifiable protected health information (PHI) have both an ethical imperative as well as a legal mandate to ensure the privacy and security of this data.
Healthcare organizations face a number of cyber threats. That's why it's crucial that you are proactive in mitigating risk, safeguarding your valuable data, and protecting your reputation,
Credentialing can be burdensome, time-consuming and tedious. Details matter. Expertise and follow-up are critical to proper enrollment and protecting cash flow. In this article we provide five keys to effective credentialing.
On January 30, 2023 the Biden Administration announced the anticipated ending of the Public Health Emergency declarations. These declarations are set to expire on May 11, 2023. Read this article to learn how the ending of the Public Health Emergency will have a large impact on Hospitals.
Many states are taking steps to strengthen their data privacy laws and California remains at the forefront of these changes. On July 1, 2023, the CPRA may begin to be enforced for violations occurring on or after that date. The law mandates policies and procedures businesses need to take on consumer and employee privacy.
Centers for Medicare and Medicaid Services (CMS) Outlines a Systematized Proposal to Prior Authorization Process
On December 6th, CMS released the proposed rule outlining systematized prior authorization pathways for healthcare services rendered by providers and hospitals. The proposed rule outlines the goals to improve the prior authorization process and drive more transparency and efficiency to all stakeholders involved including payers, providers, vendors, and patients
Monitoring provider coding and billing risks is a constantly evolving challenge. One great tool to monitor high risk provider billing in your organization is the Comparative Billing Report (CBR). Dean Dorton has developed tools to aggregate and analyze CBR benchmark information for its clients.
Changes to in-patient evaluation and management (E & M) service codes for 2023 are coming. The changes will be effective January 1st, 2023. These changes follow the outpatient service coding updates implemented on January 1st, 2021.