Medicare billing fraud remains a high priority for the Office of the Inspector General and the Department of Justice. CMS requires Medicare Administrative Contractors to conduct a wide range of ...

Several insurers are automatically downcoding -- and, therefore, paying less for -- claims for non-procedural office visits, ...

Introduction Sicker Patients or Better Charting? EHRs Put E/M Coding on Steroids Gaming the System or Just Following the System? Warning Shots and Network Deselection July 20, 2012 — When the ...

Remember that physician who wanted to develop a Current Procedural Terminology (CPT) code for prior authorizations? It hasn't happened yet, but he hasn't given up on it, either. In May, Alex ...

In 2021, the protocol for evaluation and management billing use expanded to allow for the flexibility of choosing a billing code based on either time or medical decision-making. How has this change by ...

Betsy Nicoletti, MS, a nationally recognized coding expert, will take your coding questions via email and provide guidance on how to code properly to maximize reimbursement. Have a question about ...