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What’s New in Telemedicine for 2025? 

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

How Does Data Reviewed Work When Coding E/M? 

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

Cigna: New Z Code Policy Requires Additional Provider Documentation 

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

ICD-10-CM: What’s New for 2025

How are we preparing for the end of year already? Didn’t 2024 just begin? Unfortunately, we are heading into fall...

Billing Out-of-Network, Flu Season, and Industry Updates

The Challenges of Billing Out-of-Network One of the biggest challenges for an urgent care is billing insurance as a non-participating...

The Ultimate eBook for Urgent Care Billing & Operations

In this industry, getting patients in and out fast is your biggest priority. But to be successful, it’s just as...

Cracking the Code: 2023 Coding Update

In November, CMS announced a decrease in the Medicare conversion factor from $34.61 to $33.06 – $1.55 less than the...

Effects of CMS 2023 Physician Fee Schedule on UCCs

In December’s Focus on RCM, learn about CMS 2023 Physician Fee Schedule Final Rule get tips for better E/M coding,...

Get the Latest Changes to E/M Coding Guidelines

Get the latest information about changes to the American Medical Association’s E/M Guidelines for 2023. We also cover tips to...

Managing Outside Influences on Your Urgent Care Billing

In this month’s “Focus on RCM” we clear up some confusion around how the No Surprises Act applies to urgent...

The Future is Unsure for the COVID-19 PHE

In this month’s “Focus on RCM,” we weigh in on what we think the near future holds for the COVID-19...

Stay Compliant: Coding Updates Effective 10/1/22

In this month’s “Focus on RCM,” see a snapshot of the World Health Organization’s ICD-10 additions, deletions, and revision that...