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Artificial intelligence is rapidly becoming part of the conversation, particularly within medical billing, coding, and revenue cycle management. Across the industry, practices are hearing promises surrounding automation, increased efficiency, faster claim processing, and reduced administrative burden. As a result, many
Every year, new billing and coding changes shake up the way dermatology practices operate, bringing opportunities for increased revenue, others adding hurdles to reimbursement. The 2025 updates are no different, with Medicare reimbursement cuts, tighter Modifier 25 policies, and evolving
As the year comes to a close, dermatology practices are reflecting on the challenges they faced in dermatology billing and medical billing. The complexities of ever-changing regulations, payer-specific guidelines, and nuanced coding requirements have led to common mistakes that significantly
The 2025 CMS Final Rule introduces several significant changes that will affect dermatology practices, making it crucial to stay informed and adapt your billing and coding practices. This guide explores the key changes and offers practical insights to help you
As of January 1, 2024, Medicare (CMS) will implement new edits to prevent payment of the complexity add-on HCPCS code G2211 when associated with an office and outpatient (O/O) evaluation and management (E/M) visit reported with Modifier 25. This change,
What is Incident to Billing? Incident-to billing allows non-physician providers (NPP), such as Nurse Practitioners and Physician Assistants, to render follow-up services to patients under the direct supervision of a physician. The direct supervision means that the physician provider must be physically
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
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 The COVID-19 Public Health Emergency (PHE) has been extended yet again to October 15th, 2022. Therefore the telehealth waivers remain in effect. A recent change to telehealth billing, billers need to be aware of
