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  • Telehealth: Medicare Policy for CY 2025 - AAPC
    Rulemaking and lawmaking keep telemedicine a viable solution for the masses, for now Now that the dust has settled on the American Relief Act, 2025, Medicare policy for telehealth services is extended through March 31, but then what?
  • Telehealth 2025: The Final Rule - AAPC Knowledge Center
    Medicare reinstates certain pre-pandemic telehealth policies COVID-19 public health emergency waivers that applied to Medicare Part B policies for The 2025 PFS final rule is the final word for telehealth services effective Jan 1, 2025, unless Congress acts
  • Wiki Reimbursing Injections 67028 after a Post -op - AAPC
    Can procedure 67028 be reimbursed during the post-op period of another procedure done such as 67228 (Treatment of extensive or progressive retinopathy, 1 or more sessions; (eg, diabetic retinopathy), photocoagulation )
  • Heres How the 99000 Gamble Could Pay Off : Laboratory - AAPC
    You can forget about Medicare reimbursing this code When your ob-gyn performs a Pap smear and sends it to an outside laboratory, you might be tempted to report 99000 — but you may be rolling the dice Almost all will include or deny the line item (hence raising your AR and write-offs) So here are some tips for reporting this code
  • Quick Tips to Apply CPT Add-on Codes - AAPC
    It’s best practice to periodically check your explanation of benefits carefully for claims with add-on codes to be sure the payer is reimbursing you the entire fee schedule rate for the billed procedures or services If you find a payer reducing the fees for your add-on codes, be sure to appeal the claims
  • Will Medicare Pay for Post-Op Shoe? : You Be the Coder - AAPC
    Question: Our insurer suddenly stopped reimbursing us for the post-op shoe (L3260) Does this require a modifier or special add-on code to recoup payment? Tennessee Subscriber Answer: Medicare considers L3260 (Surgical boot shoe, each) a noncovered code because this service is statutorily excluded from Medicare benefits
  • Workers Compensation Billing - AAPC Knowledge Center
    by Jackie Stack, AAB, CPC, CPC-I, CEMC, CFPC, CIMC, CPEDC, CCP-P Workers compensation billing can be confusing at times Knowing a few background
  • Understanding the Multiple Procedures Rule - AAPC
    Can you explain me the multiple surgery rule Actually we have billed the 28615RT, 27768-51RT, 28555-51RT, 28465-51RT , but we have only received payment of $280 67 for CPT 28615 which is our primary procedure
  • CPT® Code 98013 - Established Patient - Codify by AAPC
    CPT Code 98013, Synchronous Audio Only Evaluation and Management Services, Established Patient - Codify by AAPC
  • When Is It Time to Use G2211? - AAPC Knowledge Center
    Don’t be afraid to bill this service CMS has acknowledged that appropriately reimbursing providers for their expertise and cognitive work has been lacking for years In fact, CMS assumes 38 percent of all E M services in 2024 will be billed with G2211 The national payment rate for this add-on code is $16 04





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