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Insights on care coordination and value-based care.

Social Determinants of Health | CPT codes

By: Daniel Godla
March 10th, 2025

The Centers for Medicare and Medicaid Services (CMS) have updated the CPT code for the Social Determinants of Health (SDoH) assessment for 2025.

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Annual Wellness Visit | CPT codes

By: Daniel Godla
February 25th, 2025

The Centers for Medicare and Medicaid Services (CMS) updated the CPT codes for the Annual Wellness Visit (AWV). For 2025, there were no major changes to the AWV program rules and regulations in CMS’s Final Rule.

CPT codes | Remote Therapeutic Monitoring

By: Daniel Godla
February 14th, 2025

What is Remote Therapeutic Monitoring? The Centers for Medicare and Medicaid Services (CMS) introduced Remote Therapeutic Monitoring (RTM) in 2022. The program reimburses providers for the review and monitoring of non-physiological data collected through medical devices that meet FDA standards.

CPT codes | Behavioral Health Integration

By: Daniel Godla
February 6th, 2025

What is Behavioral Health Integration? Behavioral Health Integration (BHI) is a monthly program that helps Medicare beneficiaries address mental health concerns. Covered by Medicare Part B, providers should learn what CPT billing codes are used for BHI in order to optimize care delivery and avoid denied claims.

Principal Care Management | CPT codes

By: Daniel Godla
January 29th, 2025

What is Principal Care Management? Principal Care Management (PCM) is a preventive program that helps patients mitigate one, specific chronic condition. Covered by Medicare Part B, providers should learn what CPT billing codes are used for PCM in order to optimize care delivery and avoid denied claims.

Annual Wellness Visit | CPT codes

By: Daniel Godla
January 27th, 2025

What is a Medicare Annual Wellness Visit? A Medicare Annual Wellness Visit (AWV) is a preventive screening used to identify gaps in care.

Transitional Care Management | CPT codes

By: Daniel Godla
January 22nd, 2025

What is Transitional Care Management? Transitional Care Management (TCM) helps patients in the first 30 days following a hospital discharge. Covered by Medicare Part B, providers should learn what CPT billing codes are used for TCM in order to optimize care delivery and avoid denied claims.