October 1, 2018 marked the third mandated update to the ICD-10-CM and ICD-10-PCS classification systems.  All providers, coders and billers as well as anyone who deals with medical insurance claims needs to be aware of these changes and how to interpret them. Numerous...

April 11, 2019

Hopefully by now you have all heard about the efforts that are being made to streamline E/M coding and documentation. The process providers need to go through to meet criteria when documenting their patient’s visits has been an unremitting chore. Instead of just making...

February 16, 2019

Medical practices are noticing an increase of patients paying cash for services and products. Some of the reasons we are seeing a shift is because of higher deductibles, larger copays, non-covered services, and more retail sales in the office.

Hopefully, everyone recogn...

December 10, 2018

Determining the difference between New/Initial and

Established E+M Codes

We have found that many physicians run into some confusion when coding and billing for evaluation and management (E+M) services, regarding when to code new/initial or established visits. The term “...

November 17, 2018

Carri Garbus is certified and a proud member of MRMAA. 

The Medical Revenue Management Association of America (MRMAA) provides training, support and certification for individuals seeking to specialize in the management of the medical revenue cycle in private practices....

November 14, 2018

Many providers are having a difficult time with increased workloads, a result of the Affordable Care Act, ever-changing guidelines, prior authorization requests, increased review and delayed payments by payers. It is increasingly more difficult for a practice to manage...

October 30, 2018

The Centers for Medicare and Medicaid Services (CMS) on July 27 released its plan to reduce paperwork and improve patient care.1 What CMS is proposing is to combine the evaluation and management (E&M) codes - that are currently CPT codes 99202 through 99205 for new pat...

October 16, 2017

By April 2019 the Social Security Numbers on all Medicare cards will be removed as required by the Medicare Access and CHIP Reauthorization Act (MACRA) of 2015.

Personal identity theft affects a large

and growing number of seniors. People age 65 or older are increasingly...

October 1, 2017

Begin data collection by October 2, 2017 to be able to report for a full 90 day period.

The Merit-based Incentive Program, MIPS, is one of the two tracks in the Quality Payment Program. 2017 is the first year of MIPS and you can still participate in this transition year...

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When was the last time your practice had a check up?

Learn about the New Quality Payment Program from CMS

October 30, 2016

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ICD-10: Preparing for Implementation and New ICD-10-PCS Section X — Register Now

Thursday, June 18; 1:30-3pm ET

To Register: Visit MLN Connects®  Upcoming Calls. Space may be limited, register early.


It’s not too late to get ready for ICD-10 implementation on October 1, 2015. During this MLN Connects National Provider Call, CMS subject matter experts will present strategies and resources to help you prepare. Also, learn about ICD-10-PCS Section X for new technologies, which will be used by hospitals. A question and answer session will follow the presentations.


National implementation update and preparation strategiesICD-10-PCS Section X for new technologiesTesting updateProvider resources

Target Audience: Medical coders, physicians, physician office staff, nurses and other non-physician practitioners, provider billing staff, health records staff, vendors, educators, system maintainers, laboratories, and all Medicare providers.

Continuing education credit may be awarded for participation in certain MLN Connects Calls. Visit the Continuing Education Credit Information  web page to learn more.

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Jean Chen-Vitulli, DPM