This week’s Medicare updates include a fact sheet on 2025 premiums and deductibles, an OIG report on compliance with the hospital price transparency rule, and more!
Protect your practice by understanding the code level selection risks that could impact E/M office visit claims. Incorporate the guidance in this article into your compliance plan to make sure they stay on your risk radar.
In January 2024, CMS released guidance for the implementation of the office and outpatient evaluation and management visit complexity HCPCS add-on code G2211. Courtney Crozier provides a breakdown of the code, including documentation requirements and appropriate and inappropriate billing scenarios.
CMS issued a final rule last month that spells out a new appeals process for patients initially admitted as inpatients but later reassigned to outpatients receiving observation services.