Expert Dermatology Billing Services: Why PGM Is the Trusted Partner for Dermatology Practices

Running a dermatology practice requires more than clinical expertise. Managing coding, billing, and compliance demands precision and time — resources many dermatology practices struggle to spare. That’s where PGM Billing comes in. As a nationwide leader in dermatology billing services, PGM helps practices maximize reimbursements, reduce denials, and achieve stronger financial performance. Key Takeaways PGM […]

Navigating PCR Billing: CMS vs AMA Guidance on Multiplex Testing

Billing for molecular (PCR) testing has become a critical area of focus for clinical laboratories, especially as the Centers for Medicare & Medicaid Services (CMS), Medicare Administrative Contractors (MACs), and the American Medical Association (AMA) offer overlapping — but sometimes conflicting — rules.   Understanding the nuances of multiplex PCR billing under CMS/NCCI and AMA guidance […]

November Bulletin – 2023 E/M Coding Updates

2023 E/M Coding Updates On January 1, 2023, several new updates to the Evaluation and Management (E/M) section of the CPT code book will take effect. 25 codes are being deleted, there are revisions to five different coding categories’ introductory guidelines and prolonged services received a complete revision. The codes that are being deleted are […]

July Bulletin – CPT Code Updates Coming Fall 2022

CPT Code Updates Coming Fall 2022 Effective 10/1/2022, more than 300 new ICD-10-PCS codes will go into effect. The updates include 331 new codes and 64 code deletions. Among them are new technology codes, including a code for computer-assisted transcranial magnetic stimulation of the prefrontal cortex. The 2023 fiscal year (FY) updates are available for […]

October Bulletin – 2022 CPT Code Updates Announced

2022 CPT Code Updates Announced The American Medical Association made more than 400 changes to the Current Procedural Terminology (CPT) Code Set for 2022. The changes take effect January 1, 2021 and include 249 new codes, 63 deletions and 93 revisions. The 2022 CPT Code Set also includes 15 vaccine codes. These codes were created […]

March Bulletin – Coding Updates for 2021

Coding Updates – 2021 The continued development of COVID-19 treatments and vaccines has prompted updates in CPT coding and billing guidelines. In addition to the updated E&M code requirements, the American Medical Association developed COVID-19 codes for each of the four coronavirus vaccines and their administrations. 91300: this is for the Pfizer vaccine only. For […]

It’s Flu Season – What you need to know!

It’s Flu Season! The 2020 – 2021 flu season is here and with COVID-19 still circulating, it’s more important than ever to get a flu vaccine. Since both the flu and COVID-19 have some similar symptoms, the Center for Disease Control and Prevention recommends that all persons 6 months and older receive a flu vaccine. […]