This is an educational tool, not meant to be viewed as coding or billing guidelines.
Preventive Medicine Coding and Billing InfoRead More
The Affordable Care Act (ACA) requires coverage of certain essential health benefits (EHBs), two of which are rehabilitative and habilitative services and devices. Since the ACA did not define these terms or specify coverage requirements, it is left up to individual states to create benchmark plans to determine coverage requirements. As of January 1, 2018, there are two informational modifiers which should be used when reporting these two different types of services.Read More
Billing nutrition counseling services may not be as straight-forward as you might think.Read More
The Medical Learning Network provides coverage guidance, which should be documented, for home health services.
Regarding inadequate physician certification/re-certification
Physicians or Medicare allowed NPPs must certify that:Read More
On February 9, 2018, the Bipartisan Budget Act of 2018 was signed into law. There were some changes which will affect Medicare payments. The following is a brief summary, for a more comprehensive summary see the References.Read More