Congress has passed a continued resolution (CR) to fund the government through March 31, 2025. On December 21, 2024, President Biden signed the bill, which included the rollback of the healthcare provision to extend the pandemic-era telehealth flexibilities set to expire from December 31, 2024, through March 31, 2025. Included in the provision was removing the geographic pre-pandemic requirements and expanding:

Congress has passed a continued resolution (CR) to fund the government through March 31, 2025. On December 21, 2024, President Biden signed the bill, which included the rollback of the healthcare provision to extend the pandemic-era telehealth flexibilities set to expire from December 31, 2024, through March 31, 2025. Included in the provision was removing the geographic pre-pandemic requirements and expanding:

CMS has published its 2024 Medicare Fee-for-Service (FFS) Improper Payment Data, highlighting areas of billing and documentation vulnerability. This data, available in the latest MLN Newsletter (CMS MLN Newsletter, December 12, 2024), provides insight into which services, provider types, and settings are experiencing elevated error rates.

In November 2024, the OIG added “Incident-to” services to the work plan. If you are reporting advanced practice providers under a physician’s NPI number in your practice, we recommend that you audit these services to ensure you meet the criteria. The objective of the OIG is to audit and determine whether Medicare Part B payments for these services meet the Medicare guidelines.

In November 2024, the OIG added “Incident-to” services to the work plan. If you are reporting advanced practice providers under a physician’s NPI number in your practice, we recommend that you audit these services to ensure you meet the criteria. The objective of the OIG is to audit and determine whether Medicare Part B payments for these services meet the Medicare guidelines.

This holiday season, KZA is giving you the gift of knowledge! Join us for our complimentary webinar, 
Unlocking the 2025 Surgical CPT Codes on December 18th at 12:00 PM CST. 

This exclusive session will provide a comprehensive overview of the 2025 surgical coding updates, helping you stay ahead in your field. It’s the perfect way to prepare for the new year! 

As of 2024, a significant number of health systems across the United States have chosen to discontinue their participation in various Medicare Advantage (MA) plans. This trend has substantial implications for both healthcare providers and patients, particularly in the realms of billing, coding, and practice management.

Numerous BlueCross BlueShield plans do not currently cover Consultation services; however, several do. BlueCross BlueShield (BCBS) of Illinois is the most recent commercial plan to update its Clinical Payment and Coding Policy for Evaluation and Management Coding (CPC2024) to align with the Centers for Medicare and Medicaid (CMS) policy not to reimburse Consultation service codes 99242-99245 and 99252 – 99255.

KZA has received several inquiries regarding using collagen dressings for all post-surgical patients to aid healing through a direct shipping program. Your practice needs to take several factors into account when considering this.