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What is 90791 CPT Code?

What is CPT Code 90791?

The CPT Code 90791 is used for psychiatric diagnostic evaluations without medical services. It was created in 2013, along with 90792, to replace the former psychiatric diagnostic evaluation codes 90801 and 90802. This code is flexible in that it can be used by clinical psychologists, licensed professional counselors, licensed marriage and family therapists, and licensed […]

Capitation Payment in Healthcare

Capitation Payment in Healthcare

According to capitated contract payments agreed by a health insurance company and a medical provider is called Capitation payment in healthcare. This payment is fixed, pre-arranged monthly payments received by a physician, clinic or hospital per patient enrolled in a health plan, or per capita. The United States of America currently ranks highest among developed […]

CMS update: Get MIPS credit for Clinical Trials of COVID-19

CMS update: Get MIPS credit for Clinical Trials of COVID-19

The CMS is encouraging clinicians who are participating in the Quality Payment Program (QPP), such as Physicians, Assistants, Nurse Practitioners and others, to who are contributing to scientific research and evidence to fight the COVID-19 pandemic. CMS will reward with credit in the Merit-based Incentive Payment System (MIPS). A performance -based track of QPP that […]

J codes for chemotherapy drugs 2020

J codes for chemotherapy drugs 2020

J codes typically represent drugs that are not self-administered, inhalation solutions and chemotherapy drugs. Q codes are temporary codes that the Centers for Medicare & Medicaid Services (CMS) establishes to represent services and supplies that do not yet have a permanent code. What are the CPT codes for chemotherapy? According to CMS, Chemotherapy administration services: CPT codes 96400, 96408 to 96425, 96520 and 96530 Therapeutic or […]

Inpatient Psychiatric Facilities Prospective Payment System

FY 2021 Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS)

The CMS is finalizing a rule that further advances our efforts to support the Medicare program by better aligning payments for inpatient psychiatric facilities (IPFs) with the costs of providing care. The final rule will update Medicare payment policies and rates for the IPF Prospective Payment System (PPS) for FY 2021. These policies will help […]

Radiation Oncology: Billing and Coding Guidelines (Part II)

Radiation Oncology: Billing and Coding Guidelines (Part II)

Coding Guidance for Radiation oncology coding is often complicated with many nuances, yet applying coding guidance in a consistent manner is critical. CPT code 77295 Use CPT code 77295 to report 3-dimensional radiothreapy plan, including dose-volume histogram. This code also includes those procedures done in preparation for use of coplanar therapy beams and, therefore, CPT […]

Radiation Oncology : Billing and Coding Guidelines Part I

Radiation Oncology : Billing and Coding Guidelines (Part I)

Radiation oncology is a branch of clinical medicine devoted to the treatment of both malignant and benign disease with ionizing radiation. The radiation oncologist with his team is involved in the evaluation, planning, delivery and follow-up of patients treated with radiation. Radiation oncologists also may use computed tomography (CT) scans, magnetic resonance imaging (MRI), ultrasound, […]

Optimize Self-pay collection strategies to stay financial healthy

Optimize Self-pay collection strategies to stay financial healthy

Adverse effect of pandemic is rise in an unemployment, providers need to optimize self-pay collection strategies to support patients and revenue collection during this difficult time. Healthcare is the industry most at-risk during the coronavirus (COVID-19) pandemic. Providers are on the front lines of response efforts. At the same time, the financial implications of the […]

COVID-19 payment and telehealth flexibilities Updates

COVID-19 Payment and Telehealth Flexibilities Updates

The department of Health and Human Services has extended the national public health emergency declared for pandemic, as a part of their work to support frontline healthcare providers who are fighting with COVID-19. It also extended COVID-19 payment and regulatory flexibilities granted during the period. HHS has implemented vital Telehealth payment and coverage flexibilities during […]

CMS patients over paperwork during COVID-19

CMS’s patients over paperwork during COVID-19

The CMS’s Patients Over Paperwork initiative streamlines regulations to reduce burden, increase efficiencies, and improve the beneficiary experience. The Centers for Medicare & Medicaid Services (CMS) took some actions to protect the health and safety of our nation’s patients and providers in the wake of the 2019 Coronavirus (COVID-19) outbreak. What is Patients over Paperwork? […]