CE Articles

Examine 2024 E/M guideline and code changes

As important changes are coming for physician E/M reporting in 2024, coders should note the changes for reporting telemedicine services, split or shared visits, multiple visits, and hospital or observation care same day admission and discharge.

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2024 MPFS final rule: Updates for telehealth, split/shared services, and add-on complexity code

Part B providers will have to prepare for a net 3.4% payment decrease across services in 2024, according to the 2024 Medicare Physician Fee Schedule final rule. The rule covers numerous operational areas for medical groups, including new coverage opportunities and billing revisions to coding and compliance updates.

Review highlights from the 2024 OPPS final rule and 340B remedy plan

The 2024 OPPS final rule details changes to price transparency compliance, reimbursement changes and, updates to numerous other hospital programs. Additionally, CMS is moving forward with its proposals to address unlawful payment reductions to 340B drug reimbursement.

Healthcare News: CMS, providers don't report all coded cases of abuse, audit finds

A recent Office of Inspector General audit of inpatient and outpatient Medicare claims estimated that nearly 20% of cases including codes for abuse or neglect were not reported to law enforcement.

Q&A: Ensure clinical documentation meets requirements for accurately reporting VBAC procedures in CPT

Q: What advice can you give pertaining to clinical documentation requirements to properly report CPT codes for vaginal deliveries after cesarean (VBAC) procedures?

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Test your knowledge with this week’s free quiz, which features CPT coding for salivary gland and duct procedures.

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SelectCoder Tip of the Week

If the patient uses an insulin pump, coders should report ICD-10-CM code Z96.41 (presence of insulin pump [external] [internal]) as an additional code. If there is a complication involving the insulin pump, coders should report use a code from ICD-10-CM subcategories T85.6- (mechanical complication of other specified internal and external prosthetic devices, implants, and grafts) or T85.7- (infection and inflammatory reaction due to other internal prosthetic devices, implants, and grafts) instead of the Z code.

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JustCoding's 2024 CPT Updates

Join expert speaker Shannon E. McCall, RHIA, CCS, CCS-P, CPC, CEMC, CRC, CCDS, CCDS-O, for this 60-minute webinar to ensure you’re prepared to implement 2024 CPT changes. She will pinpoint noteworthy revisions for your facility, review the new and revised code descriptions for the fiscal year 2024 CPT code set, and answer specific questions during a live Q&A.

For more information, call 800-650-6787 or visit the HCPro Healthcare Marketplace.

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Savannah Schmidt
JustCoding News: Outpatient
editor@justcoding.com

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