March Bulletin – Insurance Company Updates

Insurance Company Updates Several insurance companies have made note-worthy updates to their billing policies. Superior HealthPlan Effective June 1, 2022, the criteria for the assessment and treatment of Attention Deficit Hyperactivity Disorder (ADHD) has been revised and updated. More than a dozen CPT codes have been deemed not medically necessary when billed with a sole […]

February Bulletin – Stay Up-To-Date on COVID-19 Vaccine Coding

COVID-19 vaccines have been available for more than a year and with boosters being approved and recommended, it is easy to bill with an incorrect vaccine or administration code. Below are the most used COVID-19 vaccination codes: CPT/HCPCS Description CPT/HCPCS Code Vaccine/Procedure Name SARSCOV2 VAC 30MCG/0.3ML IM 91300 Pfizer-BioNTech COVID-19 Vaccine ADM SARSCOV2 30MCG/0.3ML 1ST […]

January Bulletin – COVID-19 Updates

  CMS Now Requiring Payers to Cover At-Home Testing Effective January 15, 2022, patients with a health insurance plan can go online or to a pharmacy and purchase at-home COVID-19 tests at no cost. This will happen through reimbursement or free of charges through insurance. If a patient is required to pay for a test […]

December Bulletin – COVID-19 Updates

COVID-19 Updates Omicron Variant: What to Know On November 24, a new variant of the COVID-19 virus was reported to the World Health Organization (WHO). Two days later on November 26, the WHO classified the Omicron Variant as a “Variant of Concern.” The first detected cases were found in Botswana and South Africa and have […]

December Bulletin –  CMS Billing Updates for 2022

 CMS Billing Updates for 2022 Premiums, Deductibles & Coinsurance Changes In November, the Centers for Medicare & Medicaid Services (CMS) released the 2022 premiums, deductibles and coinsurance amounts for Medicare Part A and Part B. Each year to determine the Medicare Part B premiums, deductibles and coinsurance amounts, the Social Security Act is used and […]

October Bulletin – COVID-19 Vaccine Updates

COVID-19 Vaccine Updates Vaccines for Children In late September, Pfizer announced that the Phase 2/3 trial for children 5 to 11 showed that their COVID-19 vaccine was safe and generated a “robust” antibody response. The trial included more than 2.200 participants and used a two-dose regimen of the vaccine administered three weeks apart. This trial […]

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 […]