Urgent Care Coding Resources

ICD10 has been ever changing since it was first adopted ten years ago. Each year the Centers for Medicare &...

Kentucky Medicaid Announcement  On July 29, 2025, the Cabinet for Health and Family Services was notified of a technical issue...

Notification: Effective 10/01/2025 Cigna has developed a new reimbursement policy, Cigna may adjust the E/M CPT® code 99204- 99205, 99214-99215,...

Humana Claims Payment Policy Subject: Laboratory – Diagnostic Testing of Influenza    Medicare Advantage Payment Policy As a Medicare Advantage plan,...

Humana Claims Payment Policy   Subject: Z-Code Billing for Molecular Diagnostic Testing    Medicare Advantage Plan Palmetto Region  The Molecular Diagnostic Services...

Ashley Fernando, RCM Operations Manager, Experity What is TRICARE? TRICARE is the health care program for uniformed service members, retirees,...

PLA codes, 0240U and 0241U, will be deleted by the AMA with an effective date of July 1, 2025. CPT...

Hard to believe that the new E/M guidelines have been in place for urgent care for four years.  These guidelines...

The American Medical Association (AMA) added a Telemedicine Services category to the Evaluation and Management section of CPT. Codes are...

Amount and/or Complexity of Data to Be Reviewed and Analyzed is one of three elements that determine the level for...

RCM Coding Supervisor: Tricia Krueger, CPC Cigna Health will begin denying evaluation and management (E/M) codes and supporting Z codes...

Effectively managing payer contracts is essential to ensure healthcare providers get fair payment for their services and can continue to...