RCM eNews – June 2024

CPT 99459 Pelvic Examination Billing for Medicare CPT 99459 was added to CPT coding for 2024 as an add-on code service, which means that this code is only payable if provided and billed on the same day, on the same claim, as the appropriate service(s) allowed per...

RCM eNews – May 2024

New Codes for Covid-19 Monoclonal Antibody On March 22, 2024, the FDA released an emergency use authorization for the PEMGARDA monoclonal antibody product for pre-exposure prophylaxis of COVID-19. New Product Code – Q0224 Administration Code – M0224 Click here for...

RCM eNews – April 2024

Waystar Clearinghouse STI RCM is transitioning all Practice Manager based clients from Change Healthcare to Waystar clearinghouse. Make note during this transition, we are still actively sending claims to payers as we have, until set up and the enrollments are...

RCM eNews – March 2024

CMS Suspends Appropriate Use Criteria for Advanced Diagnostic Imaging (AUC) Program CMS recently released a transmittal for Medicare Administrative Contractors (MACs) to put into place the agency’s suspension of the Appropriate Use Criteria for Advanced...

RCM eNews – February 2024

Excellus BCBS Updated NDC/HCPCS Codes When Billing for Depo-Provera® Effective February 15, 2024, providers can bill J1050 or J3490 for Depo-Provera injections for all lines of business. For all lines of business*, effective February 15, 2024, please submit all claims...