The 2023 ICD-10-CM update brought many new codes to report injuries sustained from collisions between motorcycles or electric-assisted bicycles and other vehicles, entities, or objects. The codes apply to e-bicycles, mopeds, motorcycles with sidecars, and motorized scooters. There were 711 changes in the range of V20.01XA-V29.9XXS, with 629 code additions and 82 deletions.
In an apparent about-face, CMS has decided not to adopt four HCPCS codes the agency had proposed to cover in place of remote therapeutic monitoring (RTM) treatment management services CPT codes 98980 and 98981. Instead, the agency established a new policy stating that “any RTM service may be furnished under our general supervision requirements,” according to the final 2023 physician fee schedule.
Make sure billers, coders, clinicians and compliance staff understand that the substantive portion rule does not apply to CPT split/shared coding guidelines. Barbara Levy, M.D., AMA CPT Editorial Panel Member, took questions on the CPT E/M update on day two of the 2023 CPT and RBRVS Symposium.
Unless Congress acts soon, Medicare payment for physicians will be chopped by 8.5% and a golden opportunity to reform prior authorization—a major administrative burden for physician practices—may slip away. The AMA is urging physicians to contact their legislators and let them know this is unfair, unacceptable and unsustainable.
Since the adoption of electronic healthcare records (EHR) became commonplace in hospitals and medical practices nearly two decades ago, more people have access to the records than before. Now more than ever, the practice of keeping accurate records has shifted to accommodate the move from paper to screen.
Automation and similar technologies are increasingly prevalent in revenue integrity but understanding best practices and long-term implications is still a major challenge. While organizations are learning how to best leverage technology as they adopt it, it’s just as important that revenue integrity leaders understand what these technologies can and can’t do.