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
What is Medical Reimbursement? - AAPC Learn what is medical reimbursement and where medical reimbursement codes are being used Get all information on medical procedures involved in healthcare
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
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
Telehealth 2025: The Final Rule - AAPC Knowledge Center Medicare reinstates certain pre-pandemic telehealth policies COVID-19 public health emergency waivers that applied to Medicare Part B policies for The 2025 PFS final rule is the final word for telehealth services effective Jan 1, 2025, unless Congress acts
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
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
Skin Substitute Grafts in Chronic Wound Care - AAPC One such intervention is the use of skin grafts, particularly amniotic skin grafts, which provide a protective barrier over wounds This article explores the intricacies of skin grafts in wound care, from biological properties to reimbursement considerations Skin Graft Products
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