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- What is medical reimbursement? - AAPC
What is medical reimbursement? Reimbursement for procedures and services performed by providers is made by commercial payers such as Aetna, United Healthcare, or federal intermediaries acting on behalf of healthcare programs Reimbursement is based on claims and documentation filed by providers using medical diagnosis and procedure codes
- Bill G2211 With Confidence (and Modifier 25) - AAPC
Medicaid and commercial payers are not required to pay for services associated with G2211 To ensure proper reimbursement, you will need to regularly review your payer contracts and fee schedules to understand which payers allow reimbursement
- Know These 4 Things to Bill 99211 Correctly : E M Coding - AAPC
Not only is this compliant coding, it’s also a smart business decision, “as the reimbursement is higher for a new patient at the same level of service,” due to the extra work typically involved in taking the patient’s history and diagnosing new conditions, explains Mary I Falbo, MBA, CPC, CEO of Millennium Healthcare Consulting Inc in
- 2025 CMS Final Rule - AAPC
he 2025 Medicare Physician Fee Schedule (PFS) Final Rule introduces significant changes that will impact reimbursement and compliance requirements
- 2025 Brings New Telemedicine Codes - AAPC Knowledge Center
Unlike the new telemedicine codes (98000-98015), Medicare does allow reimbursement for CPT® code 98016 For dates of service on or after Jan 1, 2025, use this new code instead of deleted HCPCS Level II code G2012
- New Telemedicine Codes for 2025 - AAPC
For the Current Procedural Technology (CPT®) 2025 code set, a new Telemedicine Services subsection with 17 new codes has been added to the Evaluation and Management (E M) section These 17 new codes are intended for reporting synchronous (ie, real-time) E M services, with coding options available for both new and established patients This article provides guidance on these new guidelines and
- 2026 MPFS Proposed Rule at a Glance - AAPC Knowledge Center
In an effort to “limit some of the current profiteering practices occurring in this industry,” the proposed rule states, CMS is proposing to change its policy on skin substitutes According to the proposed policy, CMS would group similar products or services into a single billing code and use a single payment amount for reimbursement
- RVU Calculator - AAPC Relative Value Units
CPT® RVU calculator provides a quick analysis of the work relative value units associated with a certain volume of CPT or HCPCS codes
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