Category: Business
UHC Provider Portal Authentication Changing
All UnitedHealthcare Provider Portal users will be required to update their One Healthcare ID authentication sign-in and recovery options to retain their portal access.
Code Selection and Level of Service Training
“CodingIntel” is launching new courses, and the first is E/M Expertise: Go Beyond the Basics!
“We’ve developed a four-module course intended for those with a strong E/M knowledge base. The content is supported by CMS and CPT citations. When the citations are definitive, you’ll have a definitive answer. When they aren’t, you’ll be able to explain the gray areas clearly.”
This isn’t an introductory course. Knowledge and experience in E/M codes and selection is a prerequisite for this course.
This course has 3.5 AAPC CEUs for those who view the entire course and have at least a 70% score on the post-test.
The 1st course will drop March 4, 2024. POET will post the link as soon as we get it.
Benchmarking Your Team Effectiveness
Is the Health of Your Practice Looking a little Sickly:
Billing for a Pap Smear
Thank you, Betsy Nicoletti ~ Coding Intel, for all your articles
“By now, you’ve seen the new CPT add-on code +99459 for use with office visits, office consults, and preventive medicine services. The AMA, in CPT Changes 2024: an Insider’s View, states that the RVS Update Committee (RUC) developed the code to capture the additional costs for visits that include a pelvic exam. It is valued as a practice expense code, which includes supply costs and 4 minutes of staff time. CPT Changes does not say that there must be a chaperone in order to bill the code. They don’t mention it at all.”
Fresh Print-Outs
Having these two documents at fingertips can be a great tool for your referral team.
Just click the button to print.
Medical License Renewal Requires Fingerprints
A few physicians have reached out for help on this issue. POET has gathered some information. We hope it helps. If you continue to have issues, please feel free to give us a call.
The Texas Medical Board “TMB” will begin this process with licenses set to expire in February 2024.
Per TMB, Instructions were included in the email renewal notices that were sent out in December.
Below is the information POET was able to obtain:
You will need two numbers:
- The service code for all Texas Physicians. The code is 11G62J.
- The Physicians’ individual TMB issued 6- digit ID. (This number was assigned to the physician at the time they submitted their application for licensure. To locate the physicians’ number go to “LIST” (Licensure Inquiry System of Texas. Click the button below.
Next the physician will need to schedule with IdentoGo to be electronically fingerprinted.
The locations for our area are:
Lufkin–1012 E. Denman Avenue
Jasper–839 S. Wheeler St
Porter—24420 FM 1314 Road (closest for Livingston docs)
Once you are on the IdentoGo site:
- Click Schedule or Manage Appointment.
- Complete all the required fields
- Enter the physicians TMB issued 6- digit number with “MB” in front (Example MB-123456).
- Click Next
- Complete all the required fields on the remaining pages, including choosing a location, date, and time for the appointment.
- Click Submit.
When the physician goes to their IdentoGo appointment they must provide identification.
One of the following is acceptable:
- Driver’s License issued by the State of Texas,
- State ID card issued by the State of Texas,
- Passport Book or Card,
- Permanent Resident Card.
If the physician prefers to schedule by telephone the number is (888) 467-2080.
Please have the Service Code 11G62J available when you make that call.
Putting Patient Care Before Paperwork
- Do you spend two hours completing documentation and EHR management for every one hour of treating patients?
- Do you feel Administrative work is causing increased burnout?
- Are you completing EHR work at home?
- Are you looking to take steps to reduce the myriad of bureaucratic burdens?
Help Identifying BCBS cards
The following Network IDs only apply to cards that show the TDI indicator.
This shows the plan is fully funded and regulated by TDI (Texas Department of Insuarnce).
- Blue Choice PPOSM= BCA.
- Blue EssentialsSM = HMO.
- Blue Advantage HMOSM = BAV.
- Blue PremierSM = HMH.
- MyBlue HealthSM = BFT.
- Blue High Performance (BlueHPN) = HPN
Example of Blue EssentialsSM
Note the red letters “HMO” and blue letters “TDI” on the card. This is what makes it a Blue Essentials Card.
However, with the ever-changing insurance landscape,
We highly encourage you to check Eligibility and Benefits.
It is advisable to retain any information you view, for your office to have the documentation you
need when a claim does not pay correctly or does not pay at all.
REMEMBER: IT HAS TO HAVE THE TDI INDICATOR
COVID-19 CPT vaccine and immunization codes
After the 2024 CPT book was printed, the AMA deleted 64 codes and Appendix Q.
COVID-19 Vaccines
Administration
• 90480 – Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, single dose
Vaccine Product
• 91318 – Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, 3mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use (6
months to 4 years) Pfizer
• 91319 – Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)(coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, 10mcg/0.3 mL dosage, tris-sucrose formulation, for intramuscular use (5-11
years) Pfizer
• 91320 – Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, spike protein, 30 mcg/0.3 mL dosage, tris-sucrose formulation, forintramuscular use (12 years and older) Pfizer
• 91321 – Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, 25 mcg/0.25mL dosage, for intramuscular use (6 months – 11 years) Moderna
• 91322 – Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine, mRNA-LNP, 50 mcg/0.5 mL dosage, for intramuscular use (12 years and older) Moderna
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