PenCo Revenue Solutions, LLC

07/16/2025

https://www.cms.gov/newsroom/fact-sheets/calendar-year-cy-2026-medicare-physician-fee-schedule-pfs-proposed-rule-cms-1832-p?fbclid=IwQ0xDSwLjz6xleHRuA2FlbQIxMQABHgsob-JI5l9tFOXYpdXYN_HUxG0FFggvmABYuC5oMTnubD1osbKYW0841pow_aem_oq4eLpsZUxYhcydJ6ZJnLA

Calendar Year (CY) 2026 Medicare Physician Fee Schedule (PFS) Proposed Rule (CMS-1832-P)On July 14, 2025, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that announces and solicits public comments on proposed policy changes for Medicare payments under the Physician Fee Sch...

01/20/2024

1/18/24 Updated guidance for G2211 from CMS. Take note of the required documentation needed for medical necessity to support billing.

01/13/2024

01/04/2024

When is it time to use G2211? AAPCs article will help you understand the dos and don’ts!

https://www.aapc.com/blog/89677-when-is-it-time-to-use-g2211/?fbclid=IwAR1GS8Ju36Yw7oR_IDY2cLqOZJaGrGgPzwujknq5LFO4UQ_xWoZyzv8udr4_aem_AehMxkATJ5ZtV4uvZnt0U78_RwhNjuq7EIxhQWEEq4KcF3vKk0doVHsnOwhgPVONDHY

Know when to use this add-on code to capture reimbursement for complex Medicare patient visits. Beginning Jan. 1, 2024, qualified healthcare providers can Know when to use add-on code G2211 to capture reimbursement for complex Medicare patient visits.

12/29/2023

For Hospitals, Physicians and Suppliers that have are CLIA certified, see the revised and newly FDA approved CLIA-Waived Tests.

https://www.cms.gov/files/document/mm13455-new-waived-tests.pdf

https://www.cms.gov/files/document/r12415cp.pdf

12/25/2023

12/05/2023

https://oig.hhs.gov/oas/reports/region6/61905002.asp?fbclid=IwAR31oyb5fsY0QE3-UiMYYLteGBrhIaHtVukZyvJsfLMpX0vwLnOMZM3WX10_aem_AXnontcVLxkBX1OZTX3nP2hG_chTT92AH4cJU8-OzDkQZajE_V5Q7KbrT_kPtMk-oEU

Specifically, for 220 of the 285 sampled enrollee-years, the diagnosis codes were not supported in the medical records or could not be supported because SelectCare could not locate the medical records and resulted in $482,601 in net overpayments.

11/28/2023

11/23/2023

Wishing everyone a Happy Thanksgiving from our family to yours!