CPT^® 98967, Under Non-Face-to-Face Nonphysician Telephone Services

Question: A patient presented for a dual-energy X-ray absorptiometry (DEXA) scan of their axial skeleton. Later that day, the physician contacted the patient via telephone to discuss the results. The phone call lasted 15 minutes. Do I report 98967 with [...]

Say goodbye to 99441 through 99443 next year. When CPT® 2025 becomes effective on Jan. 1, 2025, you will see plenty of new evaluation and management (E/M) options. You should also see several minor E/M revisions. Read on to learn how [...]

How many data transmission days are required for RPM/RTM? The Centers for Medicare & Medicaid Services (CMS) published its calendar year (CY) 2024 Medicare Physician Fee Schedule (MPFS) final rule in the Federal Register on Nov. 16, 2023. Among the [...]

See what the total revenue increase could be for all 7 services. Over the last two months, we’ve looked at four ways to boost revenue for your practice, which could potentially help you adjust care programs, upgrade office equipment, adjust [...]

Question: One of the people in my group practice is a clinical social worker and doesn’t usually bill their provided services via evaluation and management (E/M) codes. However, the social worker is interacting with patients remotely through virtual check-ins during [...]

Question: We’ve been using modifier CS for Part B claims during the PHE, but I’m not clear on which codes are appropriate for the modifier. Can you help? Tennessee Subscriber Answer: Centers for Medicare and Medicaid Services (CMS) recently updated [...]

Good news: Vaccine administration rates just went up. As pandemic restrictions lift and your Part B practice gets back in the swing of things, you’re wise to keep in step with evolving COVID-19 policies — especially with the public health [...]

Tip: Stay on top of evolving Medicare policies. Though there is light at the end of the pandemic tunnel, COVID-19’s twists and turns continue to impact Medicare providers’ daily grind. Three recent offerings are a mixed bag, highlighting the ebb [...]

Dial-in Your Knowledge of Telehealth Services Master check-in, e-visit, and telemedicine coding with this guide. The current COVID-19 public health emergency (PHE) has created a host of questions and misunderstandings about telehealth coding. Here is a comprehensive guide to the [...]

Phone consults could earn you as much as $25.48 from payers, except Medicare.Physicians and their patients spend more and more time on the phone for consultations these days, but is this service a no-no? If you're asking whether or not [...]