Medical Coding Rights

The CMS released new updates in January 2023 for the medicare fee schedule summary for telehealth services.  The updates are effective from January 1, 2023 and the implemented date is January 3, 2023.  The major changes are Medicare Physician Fee Schedule and mentioned following four category and every providers, coders and billing staff knows this guidelines and changes. Telehealth originating site facility fee payment amount Expansion of coverage for colorectal cancer screening Coverage of Audiology services Other covered services The Medicare will continue to pay the telehealth service payment at same rate in person outpatient fee rate through out end of the 2023, And there is no changes and or decrease the fee rate.  And also, the Medicare will continuously paying the audio visit service CPT code 99441, 99442 & 99443 at the same rate of outpatient established office rate for the length of service/time spends with the patient. For Medicare patients, the provider would continue

CPT Code Description: - 94760 - Noninvasive ear or pulse oximetry for oxygen saturation; single determination 94761 - Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (e.g., during exercise) The provider and or other qualified healthcare professional takes the oxygen  saturation using the a sensor on the ear or finger from the patients. To perform this service, the doctor places a sensor, such as one in the form of a clip, on the patient’s earlobe or fingertip. The sensor uses a light shining through the body part to measure the oxygen saturation, detecting the differences in the ways blood cells with and without oxygen reflect light.   The Oxygen saturation, is also called as O2 sat, and the percentage of hemoglobin carrying oxygen molecules.   Guidelines: - The CPT Codes ranges from 94010 to 94799 include laboratory procedure(s) and interpretation of test results. If a separate identifiable evaluation and management service is performed on the same day

The fee schedule is a complete listing of fees used by Medicare to pay doctors or other providers/suppliers. The CMS develops a fee schedules for following services, Physicians Services, Ambulance services, Clinical laboratory services,  Durable Medical Equipment Services, Prosthetics Services, Orthotics Services, Supplies Services. The Overall, neurosurgery will receive a 3.2% payment cut in 2022. The cut stems from a lower conversion factor from $34.89 in 2021 to $33.58 in 2022.  In the final rule CMS lowered the conversion factor (CF) from $34.89 in calendar year of 2021 to $33.59 for CY 2022, a decrease of $1.30 (-3.7%).  This is due in part to the expiration of the 3.75% payment increase provided for in Year of 2021 by the Consolidated Appropriations Act of 2021 With the 2% Medicare sequester set to resume next year and additional Medicare payment cuts of up to 4% possible under pay-as-you-go rules to pay for the American Rescue Plan, providers could be facing up to 9% in payment