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On-Demand | CMS Increases Reimbursement for Comple ...
Video | CMS Increases Reimbursement for Complex Ca ...
Video | CMS Increases Reimbursement for Complex Care Delivery Integrate G2211 into Your Practice
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Video Transcription
Video Summary
In this webinar, Erica Miller from CRD Associates provides an overview of the G2211 Complex Care Code, a new add-on code that increases reimbursement for complex care delivery. The code applies to all new and established patients when billing outpatient evaluation and management (E&M) visits. It is intended for use when the provider is the focal point of all needed healthcare services, or when the provider is managing ongoing care for a single serious or complex condition. The code cannot be used in conjunction with modifier 25, which is used when a significant separately identifiable service is provided on the same day as an E&M visit. The code is worth $16.04 per service, and can be billed for telehealth and audio-only visits. The code is only available for Medicare patients, and its use for patients with private insurance is uncertain at this time. The Endocrine Society advocates for adequate physician reimbursement and is monitoring the availability of the code for private payers. Documentation requirements include appropriately documenting the outpatient E&M service, demonstrating an ongoing relationship with the patient, or developing a care plan for new patients. The webinar includes patient examples and additional resources for further guidance.
Keywords
webinar
G2211 Complex Care Code
reimbursement
E&M visits
telehealth
Medicare patients
private insurance
physician reimbursement
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