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GLP-1 Bridge in effect; prepare with protocol for patient wave

07/13/2026

The GLP-1 Bridge demonstration program, through which eligible Part D beneficiaries can obtain semaglutide products for $50 a month, began on July 1. Prepare for what could be a large influx of visits and possibly confused requests with a clear understanding of the program parameters and billing alternatives.

Note new billing guidance for RHC, FQHC distant site telehealth services

07/13/2026

by: HCPro staff

CMS released new billing instructions for rural health clinics (RHC) and federally qualified health centers (FQHC) that provide distant site telehealth services.

Component coding and more: Assess your knowledge of angiography coding

07/13/2026

by: HCPro staff

Know which factors, such as type of vessel and catheter placement, come into play when coding for angiographies. That will ensure your code selection is accurate and help you avoid disruptions to your revenue

E/M coding scenario: Suspected MS meets a level 5 established office visit

07/13/2026

by: HCPro staff

Under the current E/M guidelines for level-based services, previously vital components of code level selection — namely, the history and exam components — no longer factor into the level of decision-making. Instead, determining a level of service comes down to one of two components: Medical decision-making (MDM) or time. The following coding scenario provides a closer look at the MDM guidelines that dictate code choice. T

Screenings get healthy use, but watch some denial traps

07/13/2026

by: Roy Edroso

The top 10 preventive screening codes under Medicare have stayed fairly uniform over the past few years, and their overall utilization continues to ride on a post-COVID rise. But some codes get denied more often than providers might expect.

Slow AI? As tech gets controversial, consider low-impact use

07/06/2026

by: Roy Edroso

If you’re worried that bringing artificial intelligence (AI) into your practice will create more problems than solutions, note that there are many AI health care products and services available that don’t impact sensitive clinical operations or add risk.

Incident-to compliance requires a look beyond the basic rules

07/06/2026

by: Julia Kyles, CPC

You’ve trained staff on the essentials of incident-to billing, such as the direct supervision requirement and the fact that the incident-to services must follow an initial visit and plan of care by the supervising provider. But you must look beyond the guidance in the CMS internet-only manual to ensure your incident-to claims are compliant.

Preventive care: Reporting the heart of health care for wellness

07/06/2026

by: Shelley C. Safian, PhD, RHIA, CCS-P, COC, CPC

Preventive care is a system of tests and treatments designed to keep healthy people healthy. These services include the administration of immunizations and vaccines, as well as counseling for smoking cessation and nutritional guidance. As a secondary aspect, it enables the detection of serious illnesses early in their development, when damage is at its least and resolution is less traumatic and expensive.

Doc’s license suspended due to arrest? With right terms, you can cut them loose

07/06/2026

by: Roy Edroso

Question: We have a physician whose license is temporarily suspended due to pending criminal assault charges that, while not optimal, are not directly related to the practice of medicine. Plus, he hasn’t been convicted. Do we have to keep him on staff? And if we do and the suspension is lifted, what are our options then?

Part B News features a new CEU Center: Here’s what to know

07/06/2026

by: HCPro staff

Dear Customer: As previously communicated, DecisionHealth is launching a new CEU quiz online platform to replace CourseWebs, which has been sunset...

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