The CY 2024 Proposed Rule for the Physician Fee Schedule (PFS) brings updates to payment rates for dermatologists as mandated by law. These proposed changes aim to balance payment adjustments and ensure budget neutrality across various services. It is crucial

My goal as a dermatology-billing expert has always been dedicated to providing accurate, up-to-date advice on coding and billing-related processes. One topic (and challenge) that often arises in medical billing, whether in a hospital or other medical facility, is the

Overview of the JW and JZ Modifier A growing number of prescription drugs, including some of the most expensive ones, are dispensed in variable doses that are administered based on a patient’s weight or body surface area (BSA) rather than

Key Documentation Requirements and Coding Guidelines for Dermatologists Contact or Irritant Dermatitis is one of the most difficult diagnosis to make with respect to identifying the offending agent.  The list of ICD-10 codes that classify the various types of contact

Everyone knows that medical billing is very complex, time-consuming, and frustrating. You can do everything correctly and the carriers can still deny the claim. In addition to carrier claim denials, staffing has become a never-ending uphill battle especially in the

In response to the ongoing Public Health Emergency (PHE), the Centers for Medicare and Medicaid Services (CMS) has temporarily expanded the definition of “direct supervision” to include virtual supervision through real-time audio and video technology. This change has allowed more

Inga C. Ellzey, RHIA, MPA, CDC Healthcare providers nationwide can anticipate a decline in payments from January to March 2023. Although any decrease in monthly revenue is significant, there are several important considerations to keep in mind. Patient deductible reset

Inga C. Ellzey, RHIA, MPA, CDC Fee Schedule Revised Conversion Factor On January 5, 2023, the Centers for Medicare & Medicaid Services (CMS) announced an updated CY 2023 physician conversion factor (CF) of $33.8872. This change reflects a 2.5% positive

Inga C. Ellzey, RHIA, MPA, CDC CPT Codes 99406-99407 (smoking cessation counseling) are not just for Primary Care Providers. Specialist providers can bill them as well. Follow the specific guidelines based on current procedural terminology and proper documentation requirements to

Inga C. Ellzey, RHIA, MPA, CDC CPT codes billed with modifier 76 are often erroneously denied as duplicates. There is a way to reduce the number of claims denied when applying this modifier. The solution is documenting additional information in