Urgent Care Coding Resources

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...

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

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

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

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

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