Changes in Medicare Coding

Changes in Medicare Coding for 2020 Medical Billing

Each year carries new updates and changes in codes of medical billing. These changes are added to improve the quality of invoice and enhance its functioning to effective working. There are additions of new diagnoses, technology, and procedures for medical billing in the updates. Moreover, revisions also are done for corrections and clarification. Some deletions also took place to remove outdated codes. It is done because there are a few codes that are not accepted by the government payers and insurers. That is why they deleted in the new changes.

Healthcare Common Procedure Coding System (HCPCS) has two levels for medicare coding. Its Level I is the Current Procedural Terminology (CPT) code set that is under the management of the American Medical Association (AMA). Non-physician services not covered through CPT codes which mostly required in Medicare patients. That is why in Level II of HCPCS, other things rather than medicare services such as durable medical equipment (DME), ambulance rides, oxygen tanks and wheelchairs included.

Different Changes For Medicare Patients

The changes are so many and can’t be discussed all in this article. We have addressed some of the 2020 changes related to medicare patients in medical billing.

Transitional Care Management (TCM)

TCM is a service designed specifically for the aid of patients. It helped the patient when they left the hospital. Transitional care services connect the patient with primary care providers to deliver further service required by the patient. It may help to reduce the need for readmission because there is a connection between the previous admission and current health state. 2020 changes have included the services to serve patients through telephonic communication and face to face conversation.

Remote Blood Pressure Monitoring

Self-monitoring of blood pressure has also discussed in medical billing, but it is also related to medicare services for patients. Remote monitoring of blood pressure has the codes added in CPT codes in 2019. But, there is a change in 2020 update that added self-administered blood pressure monitoring reported by the patient. They included improving the health care services through remote monitoring of the patient for the long run. It also reduces the influence of socioeconomic pressure on the patients for reaching a healthcare facility.

Principal Care Management (PCM)

The previous codes facilitate chronic care management, either there is single or more than one chronic issue. But, new changes ha made it clear that one chronic condition should be treated at one time. PCM added this change due to the severity of chronic health problems.

Electronic visits

E-visits or Electronic visits added to help physicians and non-physician health care professionals to bill for their services either they delivered through electronic way. The Medicare Physician Fee Schedule (PFS) for 2020 has specified that patient-initiated digital communications can be held if required by the patient; otherwise, the clinical setting preferred. HIPPA compliant portals established for patients that also involves e-visits and other sources of communication.

Vaccines of Meningitis and Influenza

There are new codes added for vaccines in the 2020 updates. All of the vaccine-related codes have changed due to the new requirements and the latest trends of medical billing.

Drug Abuse Treatment

The SUPPOrt Act (Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities) made the opioid use disorder (OUD) treatment services. It has added in new Medicare Part B benefits. This may cover medication-assisted treatment (MAT). But, a certified opioid treatment program (OTP) may offer these services. The treatment involves counselling or therapy, along with drugs. Different drugs used for the sake of medications and bundled payment rates are applied.

Challenges of New CPT Codes Updates

New CPT codes have numerous challenges to conquer in the field of medical billing. A successful medical billing relies on how the latest updates are applied because changes are directly related to billing. It is essential to be aware of new updates and implement in the billing procedures to avail of revenue benefits. On the other hand, inexperienced and unaware billers can not cope up with the unique requirements of CPT coding. Furthermore, the application of new codes should be incorporate with medical billing software to ensure valid and updated working.

Although there is no match of professional medical billing service, it becomes more beneficial when it is done through TMB. Our medical billing services take care of expenses of CPT updates and revenue loss with intermittent billing and codings services. We have the trained and well-skilled billing experts that solve the stress of coding and billing issues without any delay. Our professional billers handle revenue cycle management and boost revenue. We manage the denied and rejected claims and ramp up reimbursements. Enjoy our free demo through our website or visit.



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