2021 Covid-19 coding update
The following Covid-19 coding changes are effective as of Jan. 1, 2021: REMOVE: Z20.828 should NO LONGER BE USED for possible or suspected exposure to Covid-19 for dates of service (DOS) on or after Jan. 1, 2021. Z11.52 should NO LONGER BE USED for encounter...
2021 Medicare Fee Schedule boost: See impact to pathology services
As part of the COVID relief and appropriations package signed into effect Dec. 27, Congress took steps to mitigate significant fee schedule reductions for several specialties that were designed to offset payment boosts for evaluation and management (E/M) services....
UHC now requiring G0416 for prostate biopsies across all products
FYI: This post originally ran in October 2020 when UHC first announced this move. We have bumped it to the top of our blog as a reminder the policy change is now in effect. After making the move to align prostate biopsies with G0416 for Medicare Advantage plans...
Pathology sees 9% cut in 2021 MPFS Final Rule
After a lengthy delay, CMS released the 2021 Medicare Physician Fee Schedule Final Rule Tuesday. It finalizes several telehealth flexibilities introduced during the public health emergency while also significantly overhauling reimbursements for evaluation and...
Lighthouse Acquires MJB Lab Consulting, Expanding Medical Leadership Services