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Midwifery Billing and Coding Regulation Trends in 2023

5/26/2023

 
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However, based on past trends, here are some things that may be worth considering:
  1. Expansion of Telehealth Coverage: Due to the COVID-19 pandemic, telehealth has become more popular and essential. In 2023, there may be further expansion of telehealth coverage, including more services covered by insurance plans.
  2. Changes to Evaluation and Management (E/M) Coding: The Centers for Medicare & Medicaid Services (CMS) implemented significant changes to E/M coding in 2021. It's possible that further updates or adjustments to E/M coding may be made in 2023.
  3. Increased Focus on Social Determinants of Health: There may be a greater emphasis on addressing social determinants of health in 2023. This could impact coding and billing, as providers may need to document more detailed information on patients' social needs and how they are addressing them.
  4. New or Revised Codes: Each year, new codes are added to the Current Procedural Terminology (CPT) code set. Additionally, existing codes may be revised or deleted. Providers should stay up-to-date with these changes to ensure accurate billing and coding.
  5. Changes to Quality Payment Programs: The CMS Quality Payment Programs (QPPs), such as the Merit-based Incentive Payment System (MIPS), are updated annually. In 2023, there may be changes to these programs that impact billing and coding requirements.
It's important for providers to stay up-to-date with any new regulations and updates that impact billing and coding. You can check with professional organizations, attend conferences or seminars, or consult with billing and coding experts for more information.

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  • Home
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